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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 Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for NORTHERN NEVADA SPECIALTY PRADA, PLLC

NPI # 1134584055
LBN Legal business name NORTHERN NEVADA SPECIALTY PRADA, PLLC
Authorized official PATRICIA PRADA - (MEMBER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/18/2015
Last updated 12/18/2015 - About 10 years ago
Identifiers
NV License # NV20151700649
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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