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PARKWAY DENTAL NPI 1225253925


NPI Information

NPI: 1225253925
Provider Name: PARKWAY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
210 S. MARYLAND PARKWAY
SUITE A
LAS VEGAS, NV
ZIP 89101
Phone: (702) 384-3461
Get Directions

PARKWAY DENTAL is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PARKWAY DENTAL NPI is 1225253925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 S. MARYLAND PARKWAY
SUITE A
LAS VEGAS, NV
ZIP 89101-361
Phone: (702) 384-3461
Fax: (702) 384-2377

The provider's authorized official is Ronrico Arcangel Mangapit .
The authorized official title is Dentist and has the following contact phone number (702) 384-3461.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4156NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100510354MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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