The Dental Implant Source in Las Vegas - Prosthodontics
The Dental Implant Source - NPI 1457496077
The Dental Implant Source is a Prosthodontics in Las Vegas, Nevada. The Dental Implant Source practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for The Dental Implant Source is 1457496077. The last update date is 2020-08-22.
The Dental Implant Source's current location address is 8960 W Cheyenne Ave Unit 190, Las Vegas, Nevada. You can contact this provider via phone number 7023674121 and fax number 7023674021. The mailing address for The Dental Implant Source is 8960 W Cheyenne Ave Unit 190, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Dental Implant Source |
|---|---|
| Address | 8960 W Cheyenne Ave Unit 190, Las Vegas, Nevada |
| Phone Number | 7023674121 |
| Fax Number | 7023674021 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brooksby Scott Lyle |
| Credentials | DDS |
| Telephone Number | 7023674121 |
NPI Number Detail
| NPI Number | 1457496077 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8960 W Cheyenne Ave Unit 190 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891298929 |
| Phone Number | 7023674121 |
| Fax Number | 7023674021 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 2543 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique identification code assigned to The Dental Implant Source by the Centers for Medicare & Medicaid Services?
The The Dental Implant Source has been issued the NPI (National Provider Identifier) 1457496077. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where The Dental Implant Source's facilities are geographically located?
The facilities of The Dental Implant Source are physically situated at the following location: 8960 W Cheyenne Ave Unit 190, Las Vegas, NV, 891298929.
What is The Dental Implant Source's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for The Dental Implant Source is Prosthodontics, and the taxonomy code that categorizes this field of expertise is 1223P0700X.
When did the The Dental Implant Source receive its 1457496077?
The The Dental Implant Source was issued its 1457496077 on 2007-02-21, which is the date when the organization was assigned this unique identifier.
When was the The Dental Implant Source's information last updated?
The The Dental Implant Source's information was last updated on 2020-08-22.
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