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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7827 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faddis Dentists of North Las Vegas, PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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All providers in Las Vegas, 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 Jul 21, 2025. 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.