Shafia Asif Awan, DDS

Individual provider Active NPI General Practice Dentistry · Las Vegas, NV

NPI 1740966985 · NPPES record last updated Jul 21, 2025

Key facts

NPI
1740966985
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7827 (NV)
Practice address
1700 W Charleston Blvd BLDG D
Las Vegas, NV 89102-2335
Phone
(702) 774-2690
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7827NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Faddis Dentists of North Las Vegas, PC General Practice Past
since Jun 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7827 NV
General Practice Dentistry 1223G0001X 7827 NV Yes

Addresses

Primary practice location

1700 W Charleston Blvd BLDG D
Las Vegas, NV 89102-2335

Mailing address

1908 Tierra Vista Dr Unit 201
Las Vegas, NV 89128-2794
Phone (209) 689-5296

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · General Practice Dentistry in Nevada

Sources for this page

Verify at the official NPI Registry.