Delisle, Steven Eliot

Delisle, Steven Eliot is an individual health care provider with primary practice located at 4090 N Mlk Blvd , North Las Vegas NV 89032-3218. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Delisle, Steven Eliot can be contacted via phone (425) 306-2579.

Contact Information

Primary practice address
4090 N Mlk Blvd North Las Vegas NV 89032-3218
Phone: (425) 306-2579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7848 Arizona
Dental Providers / Dentist 122300000X 5929 Nevada
Dental Providers / General Practice 1223G0001X 56563 California

Profile Details

NPI number 1639329337
LBN Legal business name Delisle, Steven Eliot
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated May 28th, 2014 - about 10 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 1639329337 NPPES
Nevada Other 5929 DENTAL LICENSE
Nevada Other 56563 DENTAL LICENSE
Nevada Other 7848 DENTAL LICENSE

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