National Provider Identifier Database

MODERN DENTAL SPECIALIST LLC
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

MODERN DENTAL SPECIALIST, LLC
4618 MEADOWS LN
LAS VEGAS, NV89107-2956
Phone: 702-623-3200
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
Oral and Maxillofacial Surgery 1223S0112X
Periodontics 1223P0300X

* Indicates primary specialty

NPI Profile & details for MODERN DENTAL SPECIALIST, LLC

NPI Number 1912607433
Legal business name
LBN
MODERN DENTAL SPECIALIST, LLC
Authorized official ANASTASIA SAVCIC - (HUMAN RESOURSE)
Entity Organization
Organization subpart No
Enumeration date 03/03/2023
Last updated 03/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers 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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