National Provider Identifier Database

NORTHERN NEVADA SPECIALTY PRADA PLLC
Pediatric Dentistry

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.


Contact Information

NORTHERN NEVADA SPECIALTY PRADA, PLLC
6490 S. MCCARRAN BLVD. #17 & #18
LAST VEGAS, NV89509
Phone: 775-829-8901
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Dentistry 1223P0221X
Endodontics 1223E0200X
Oral and Maxillofacial Surgery 1223S0112X
Orthodontics and Dentofacial Orthopedics 1223X0400X

* Indicates primary specialty

NPI Profile & details for NORTHERN NEVADA SPECIALTY PRADA, PLLC

NPI Number 1134584055
Legal business name
LBN
NORTHERN NEVADA SPECIALTY PRADA, PLLC
Authorized official PATRICIA PRADA - (MEMBER)
Entity Organization
Organization subpart Yes
Enumeration date 12/18/2015
Last updated 12/18/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: NV20151700649

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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