National Provider Identifier Database

RADIANT DENTAL 1
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

RADIANT DENTAL 1
7469 W LAKE MEAD BLVD
SUITE 270
LAS VEGAS, NV89128-1030
Phone: 702-312-8710
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for RADIANT DENTAL 1

NPI Number 1225218951
Legal business name
LBN
RADIANT DENTAL 1
Authorized official DAVID GONZALEZ - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/09/2007
Last updated 11/09/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: 4480

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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