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NPI 1821884982 · live from the CMS NPI Registry

Kyle Cousineau, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1821884982, active.

NPI record

NPI1821884982 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location11696 Hamilton Lake Ave, Las Vegas, NV 89138
Practice phone702-918-4327
EnumeratedApril 16, 2025
Last updatedApril 16, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X7684 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.