A Omega Dental, LLC
Organization Active NPI General Practice Dentistry · Las Vegas, NV
NPI 1114320983 · NPPES record last updated Oct 7, 2014
Key facts
- NPI
- 1114320983
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- A OMEGA DENTAL, LLC
- Practice address
- 6775 E Lake Mead Blvd
Ste # B9 & B10
Las Vegas, NV 89156 - Phone
- (702) 570-5072
- Fax
- (702) 570-5384
- NPI assigned
- Oct 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Dominic DO, DDS
- Title
- President
- Phone
- (702) 722-8423
National Provider Directory
Locations
6775 E Lake Mead Blvd
Ste 10
Las Vegas, NV 89156
Phone (702) 570-5072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
6775 E Lake Mead Blvd
Ste # B9 & B10
Las Vegas, NV 89156
Mailing address
6775 E Lake Mead Blvd
Ste # B9 & B10
Las Vegas, NV 89156
Phone (702) 570-5072
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.