NPI 1417090499 · live from the CMS NPI Registry
Kent L. Phillips, D.D.S., M.S., Ltd.
Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1417090499, active.
NPI record
| NPI | 1417090499 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 7550 W Lake Mead Blvd Ste 6, Las Vegas, NV 89128 |
| Practice phone | 702-242-9777 |
| Enumerated | February 15, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Kent Phillips, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.