Modern Dental Specialist, Llc
LBN: Modern Dental Specialist, Llc
Modern Dental Specialist, Llc is an health care organization with primary practice located at 6388 W Sahara Ave , Las Vegas NV 89146-3050. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Periodontics. Dental Providers / Endodontics is the primary health care specialty.
Modern Dental Specialist, Llc can be contacted via phone (702) 288-7200, or through Kohanteb, Benny via phone (818) 631-3368.
Contact Information
Primary practice address
6388 W Sahara Ave
Las Vegas NV 89146-3050
Phone: (702) 288-7200
Fax:
Website:
Authorized official contact:
Name: Kohanteb, Benny Doctor of Dental Surgery (DDS)
Phone: (818) 631-3368
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | ||
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
Dental Providers / Periodontics | 1223P0300X |
Profile Details
NPI number | 1962197897 |
---|---|
LBN Legal business name | Modern Dental Specialist, Llc |
DBA Doing business as | |
Authorized official | Kohanteb, Benny Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 6th, 2023 |
Last updated | Apr 6th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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