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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699813865 | NPPES |
Nevada | MEDICAID | 1699813865 |
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