NPI 1609701358 · live from the CMS NPI Registry
Jr Dental
Dentist, General Practice in Henderson, NV. National Provider Identifier 1609701358, active.
NPI record
| NPI | 1609701358 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 256 E Lake Mead Pkwy, Henderson, NV 89015 |
| Practice phone | 702-703-5410 |
| Enumerated | June 15, 2026 |
| Last updated | June 15, 2026 |
| Authorized official | Amy Garfield, Operations Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.