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Contact Information

SOUTHERN NEVADA SPECIALTY PRADA, PLLC
8380 W CHEYENNE AVE
#104
LAS VEGAS, NV89129-8405
 Phone: 702-733-0888
 Fax: 702-395-8718
 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 SOUTHERN NEVADA SPECIALTY PRADA, PLLC

NPI # 1275998270
LBN Legal business name SOUTHERN NEVADA SPECIALTY PRADA, PLLC
Authorized official PATRICIA PRADA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2015
Last updated 01/19/2017 - About 9 years ago
Identifiers
NV License # S6-33C
NV Medicaid 1275998270
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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