NPI 1184450405 · live from the CMS NPI Registry
Go Kids Dental North Decatur, LLC
Dentist, Pediatric Dentistry in Las Vegas, NV. National Provider Identifier 1184450405, active.
NPI record
| NPI | 1184450405 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 6311 N Decatur Blvd Ste 140, Las Vegas, NV 89130 |
| Practice phone | 702-522-0119 |
| Enumerated | September 12, 2024 |
| Last updated | September 12, 2024 |
| Authorized official | Deep Dhillon, Dentist |
| Other names | Go Kids Dental & Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Dentist, Pediatric Dentistry primary | 1223P0221X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.