NPI 1083849178 · live from the CMS NPI Registry
Prashanti Bollu, D.M.D., M.S., M.B.A.
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1083849178, active.
NPI record
| NPI | 1083849178 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1450 W Horizon Ridge Pkwy Ste B308-309, Henderson, NV 89012 |
| Practice phone | 702-703-0102 |
| Mailing address | 771 Glowing Horizon St, Henderson, NV 89052 |
| Enumerated | May 19, 2009 |
| Last updated | February 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-228 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.