NPI 1326102211 · live from the CMS NPI Registry
Blaine R Hansen, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1326102211, active.
NPI record
| NPI | 1326102211 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3600 N Buffalo Dr, Las Vegas, NV 89129 |
| Practice phone | 702-568-1600 |
| Enumerated | December 22, 2006 |
| Last updated | November 2, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 6573 (AZ) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 51234029921 (UT) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | S3-152c (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.