SPRING MOUNTAIN DENTAL INC NPI 1508286337

NPI Information

NPI: 1508286337
Provider Name: SPRING MOUNTAIN DENTAL INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 29D0984812

Address:
5785 SPRING MOUNTAIN RD
LAS VEGAS, NV
ZIP 89146
Phone: (702) 368-3854
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SPRING MOUNTAIN DENTAL INC is a dental clinic center in Las Vegas, NV. SPRING MOUNTAIN DENTAL INC NPI is 1508286337. The provider is registered as an organization entity type.

The provider's business location address is:

5785 SPRING MOUNTAIN RD
LAS VEGAS, NV
ZIP 89146-829
Phone: (702) 368-3854

The provider's authorized official is Cal R Dykes .
The authorized official title is President and has the following contact phone number (702) 368-3854.

The CLIA number assigned to this NPI record is 29D0984812 - other - psychiatric hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2014 and was last updated on 4/19/2014.

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	NV20141247407	NEVADA	Yes

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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