STAR BRITE DENTAL XA PROF. CORP. NPI 1417085010

NPI Information

NPI: 1417085010
Provider Name: STAR BRITE DENTAL, XA PROF. CORP.

Doing Business As: STAR BRITE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
893 S RAINBOW BLVD
LAS VEGAS, NV
ZIP 89145
Phone: (702) 456-0034
Get Directions

STAR BRITE DENTAL, XA PROF. CORP. is a dental clinic center in Las Vegas, NV. STAR BRITE DENTAL, XA PROF. CORP. NPI is 1417085010. The provider is registered as an organization entity type.
The provider Is Doing Business As Star Brite Dental.

The provider's business location address is:

893 S RAINBOW BLVD
LAS VEGAS, NV
ZIP 89145-238
Phone: (702) 456-0034
Fax: (702) 856-0035

The provider's authorized official is Hai Q. Xa .
The authorized official title is President and has the following contact phone number (702) 456-0034.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	3780	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1655849	OTHER	NEVADA	UNITED CONCORDIA
2	71739	OTHER	NEVADA	CULINARY

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

NPI Synchronization or Removal

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