Betancourt, Damian

Betancourt, Damian is an individual health care provider with primary practice located at 5892 Losee Rd Ste 135 , North Las Vegas NV 89081-6200. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Betancourt, Damian can be contacted via phone (702) 399-8700.

Contact Information

Primary practice address
5892 Losee Rd Ste 135 North Las Vegas NV 89081-6200
Phone: (702) 399-8700
Fax: (702) 657-6817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2631 Nevada

Profile Details

NPI number 1699813865
LBN Legal business name Betancourt, Damian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699813865 NPPES
Nevada MEDICAID 1699813865

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