Valudental Decatur Lee PLLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

VALUDENTAL DECATUR LEE PLLC

Doing business as

Celebrate Dental and Braces

Practice address

4880 W Flamingo Rd
Las Vegas, NV 89103-3704

Phone

(702) 687-7000

Fax

(702) 947-6655

NPI assigned

Apr 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yvonne Renee Paz

Title

Office Manager

Phone

(702) 674-7000

Specialties & licenses 1

Addresses

Other names 1

• Celebrate Dental and Braces Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1861012338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084203",
            "telephone_number": "702-674-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033704",
            "telephone_number": "702-687-7000",
            "fax_number": "702-947-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUDENTAL DECATUR LEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-674-7000"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Public Health Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.