PURE DENTAL NPI 1508191420

NPI Information

  • NPI: 1508191420
  • Provider Name: PURE DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4250 S RAINBOW BLVD
    #1004-1005
    LAS VEGAS, NV
    ZIP 89103
  • Phone: (702) 456-4600

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NPI Details

PURE 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. PURE DENTAL NPI is 1508191420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4250 S RAINBOW BLVD
#1004-1005
LAS VEGAS, NV
ZIP 89103-159
Phone: (702) 456-4600
Fax: (702) 456-3600

The provider's authorized official is Trang Nguyen .
The authorized official title is Owner and has the following contact phone number (702) 456-4600.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 10/9/2009.

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
11223G0001XDentistGeneral Practice4709NEVADAYes

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: 11/21/2025

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