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Contact Information

DENTAL IMPLANT SPECIALISTS OF NEVADA - WILLARDSEN, PC
9061 W POST RD
LAS VEGAS, NV89148-2411
 Phone: 702-434-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Pathology

1223P0106X
Indicates primary specialty

NPI Profile & details for DENTAL IMPLANT SPECIALISTS OF NEVADA - WILLARDSEN, PC

NPI Number 1952192015
LBN Legal business name DENTAL IMPLANT SPECIALISTS OF NEVADA - WILLARDSEN, PC
Authorized official JAMES WILLARDSEN - (PROVIDER PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2025
Last updated 05/16/2025 - More than a year 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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