NPI 1972045300 · live from the CMS NPI Registry
Amertina Dental Group And Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1972045300, active.
NPI record
| NPI | 1972045300 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4492 S Pecos Rd, Las Vegas, NV 89121 |
| Practice phone | 702-602-2300 |
| Enumerated | November 16, 2016 |
| Last updated | November 29, 2016 |
| Authorized official | Arash Bakhaj, Owner |
| Other names | Nevada Dentistry & Braces |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | S3-275 (NV) |
| Dentist, Pediatric Dentistry | 1223P0221X | S3-275 (NV) |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | S3-275 (NV) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-275 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.