Absolute Dental-Sparks
Organization Active NPI General Practice Dentistry · Sparks, NV
NPI 1720177512 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720177512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4509 (NV)
- Legal business name
- ABSOLUTE DENTAL-SPARKS
- Practice address
- 1301 N McCarran Blvd
Suite 104
Sparks, NV 89431-3877 - Phone
- (775) 331-8400
- Fax
- (775) 359-9336
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Benny Kohanteb, D.D.S.
- Title
- Owner
- Phone
- (775) 331-8400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4509 | NV | Yes |
Addresses
Primary practice location
1301 N McCarran Blvd
Suite 104
Sparks, NV 89431-3877
Mailing address
1301 N McCarran Blvd
Suite 104
Sparks, NV 89431-3877
Phone (775) 331-8400
Other providers in Sparks, NV
- Karen Abel
- Rosalie Abeng
- Abes Care Home for Disability
- Above & Beyond
- Absolute Dental SP LLC
- Accutech Ventures, Inc.
- Jeffrey Cunanan Acosta
- Katelyn Acosta
- Noelia Acuna Meza
- Sonia Acuna
All providers in Sparks, NV · General Practice Dentistry in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.