NPI 1124423959 · live from the CMS NPI Registry
Kayla Bateman Etman, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1124423959, active.
NPI record
| NPI | 1124423959 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4 Sunset Way, Bldg C, Henderson, NV 89014 |
| Practice phone | 702-968-5222 |
| Mailing address | 2151 Village Walk Dr Apt 17305, Henderson, NV 89012 |
| Enumerated | October 22, 2014 |
| Last updated | August 23, 2018 |
| Sole proprietor | Yes |
| Other names | Kayla Bateman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | s3-309 (NV) |
| Dentist | 122300000X | 6550 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.