National Provider Identifier Database

C L FATH, DDS – NPI #1033204243
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

C L FATH, DDS
1001 SHADOW LN
MS 7414
LAS VEGAS, NV89106-4124
Phone: 702-371-8000
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for C L FATH

NPI Number 1033204243
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/04/2006
Last updated 11/01/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 019-019555
  • NV License #: 4164
  • NV License #: S7-102
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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