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WATANABE ROCKSPRINGS DENTAL GROUP PC NPI 1508906504


NPI Information

NPI: 1508906504
Provider Name: WATANABE ROCKSPRINGS DENTAL GROUP, PC

Doing Business As: ROCKSPRING DENTAL CORPORATION

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 29D2269541

Address:
7175 W LAKE MEAD BOULEVARD
SUITE, 110
LAS VEGAS, NV
ZIP 89128
Phone: (702) 228-9911
Get Directions

WATANABE ROCKSPRINGS DENTAL GROUP, PC 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. WATANABE ROCKSPRINGS DENTAL GROUP, PC NPI is 1508906504. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rockspring Dental Corporation.

The provider's business location address is:

7175 W LAKE MEAD BOULEVARD
SUITE, 110
LAS VEGAS, NV
ZIP 89128
Phone: (702) 228-9911
Fax: (702) 228-9344

The provider's authorized official is Watanabe C Lynda .
The authorized official title is Doctor and has the following contact phone number (714) 508-3600.

The CLIA number assigned to this NPI record is 29D2269541 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 1/2/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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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