HERRERA FAMILY DENTAL, PLLC


Address: 1300 S Lamb Blvd Ste 400, Las Vegas, NV 89104-5540
Phone: 7027807660

HERRERA FAMILY DENTAL, PLLC (NPI# 1285123851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285123851
Entity Type Organization
Organization Name HERRERA FAMILY DENTAL, PLLC
Other Organization Name HERRERA FAMILY DENTAL , PLLC
Practice Address 1300 S Lamb Blvd Ste 400
Las Vegas
NV 89104-5540
Practice Telephone 7027807660
Practice Fax Number 7027807669
Mailing Telephone 7022741110
Mailing Fax Number 7027807669
Enumeration Date 2018-05-09
Last Update Date 2018-05-09
Authorized Official Name DR. EVELYN HERRERA (OWNER)
Authorized Official Telephone 7027807660
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
6786 NV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NV NPI 1699126094 01

Other Provider/Organization Names

Other Name Type Code
Herrera Family Dental , PLLC Doing Business As Name - Organization

Office Location

Street Address 1300 S LAMB BLVD STE 400
City LAS VEGAS
State NV
Zip Code 89104-5540

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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