NPI 1346831989 · live from the CMS NPI Registry
Boulder Crossings Dental Partners PLLC
Dentist, General Practice in Las Vegas, NV. National Provider Identifier 1346831989, active.
NPI record
| NPI | 1346831989 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4954 Boulder Hwy, Las Vegas, NV 89121 |
| Practice phone | 702-847-6273 |
| Mailing address | 3030 N. Central Ave, Suite 1500, Phoenix, AZ 85012 |
| Enumerated | January 27, 2021 |
| Last updated | March 19, 2024 |
| Authorized official | Whitney Wright, Officer |
| Other names | Risas Dental And Braces |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
| 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.