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Contact Information

MODERN DENTAL SPECIALIST, LLC
6388 W SAHARA AVE
LAS VEGAS, NV89146-3050
 Phone: 702-288-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Oral and Maxillofacial Pathology

1223P0106X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for MODERN DENTAL SPECIALIST, LLC

NPI Number 1962197897
LBN Legal business name MODERN DENTAL SPECIALIST, LLC
Authorized official BENNY KOHANTEB - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2023
Last updated 04/06/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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