Nevada Denture Service

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

550 Issued in NV

Legal business name

NEVADA DENTURE SERVICE

Practice address

2605 S Decatur Blvd
Suite 116
Las Vegas, NV 89102-8591

Phone

(702) 878-1737

Fax

(702) 259-9634

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Launa S Means

Title

Owner

Phone

(702) 878-1737

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1912119660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S DECATUR BLVD",
            "address_2": "SUITE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028591",
            "telephone_number": "702-878-1737",
            "fax_number": "702-259-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S DECATUR BLVD",
            "address_2": "SUITE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028591",
            "telephone_number": "702-878-1737",
            "fax_number": "702-259-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DENTURE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "LAUNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-878-1737",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002202763",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nevada Donor Network, Inc.

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.