NPI 1174613921 · live from the CMS NPI Registry
Leonardo Carlos Ferrer Bordador, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1174613921, active.
NPI record
| NPI | 1174613921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2799 Sunridge Heights Pkwy Ste 100, Henderson, NV 89052 |
| Practice phone | 702-878-2799 |
| Mailing address | 2737 Laguna Seca Ave, Henderson, NV 89052 |
| Enumerated | October 13, 2006 |
| Last updated | June 10, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 053200 (NY) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-193C (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.