NPI 1679220818 · live from the CMS NPI Registry
Blaine R Hansen, DMD, Ms
Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1679220818, active.
NPI record
| NPI | 1679220818 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3600 N Buffalo Dr Ste 110, Las Vegas, NV 89129 |
| Practice phone | 702-568-1600 |
| Enumerated | March 8, 2022 |
| Last updated | March 8, 2022 |
| Authorized official | Cindy Baker, Insurance Coordinator |
| Other names | Hansen Orthodontics |
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.