MARILYN MCCOMB (NPI# 1427593987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427593987 |
Entity Type | Individual |
Full Name | MARILYN MCCOMB |
Credential | DDS |
Practice Address |
1022 Nevada Hwy Suite 200 Boulder City NV 89005-1825 |
Mailing Address |
Po Box 60036 Boulder City NV 89006-0036 |
Practice Telephone | 7025804509 |
Practice Fax Number | 7028005441 |
Mailing Telephone | 7027650041 |
Mailing Fax Number | 7028005441 |
Enumeration Date | 2016-12-19 |
Last Update Date | 2016-12-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5166 | DC | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-35C | NV | Dental Providers |
Street Address |
1022 NEVADA HWY SUITE 200 |
City | BOULDER CITY |
State | NV |
Zip Code | 89005-1825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
Find all providers in zip 89005 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | 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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568089076 | Jens Wilson | Dentist | 101 Shadow Ln, Las Vegas, NV 89106-4301 | 2020-06-30 |
1942840723 | Bella Children's Dental Care LLC | Dentist | 560 N Nellis Blvd Ste E2, Las Vegas, NV 89110-5370 | 2020-01-09 |
1649760257 | Sorenson Pediatric Dentistry Pllc | Dentist | 5745 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5623 | 2018-05-18 |
1326537028 | Henderson Pediatric Dentistry PC | Dentist | 390 N Stephanie St Ste 104, Henderson, NV 89014-8029 | 2018-05-08 |
1427552066 | Salar and Delisle LLC | Dentist | 5055 Sun Valley Blvd Ste 350, Sun Valley, NV 89433-8297 | 2018-03-20 |
1609377373 | H&b Pediatric Dentistry LLC | Dentist | 8520 Blue Diamond Rd Ste 130, Las Vegas, NV 89178-9297 | 2018-02-27 |
1922516475 | Children's Dentistry of Elko | Dentist | 2578 Idaho St, Elko, NV 89801-4601 | 2018-01-18 |
1043725039 | Northern Nevada Dental Specialties Group, LLC | Dentist | 5030 Las Brisas Blvd Ste B-3, Reno, NV 89523-6239 | 2017-12-12 |
1457703290 | Wesley Archer | Dentist | 10400 S Eastern Ave, Henderson, NV 89052-3957 | 2016-07-05 |
1528430790 | Absolute Dental & Orthodontics Prada, Pllc | Dentist | 8380 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-2175 | 2015-10-27 |
Find all providers with the same taxonomy |
City | BOULDER CITY |
Zip Code | 89005 |
Please comment or provide details below to improve the information on MARILYN MCCOMB.
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.