Individual provider · Type 1 NPI

Prashanti Bollu, DMD, M.S., M.B.A.

Orthodontics and Dentofacial Orthopedics Dentistry · Henderson, NV

NPI number 1083849178 Active

Practice location

1450 W Horizon Ridge Pkwy Ste B308-309
Henderson, NV 89012-4477

Call (702) 703-0102 Map

Fax (702) 723-6773

Mailing address

771 Glowing Horizon St
Henderson, NV 89052-8743

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	S3-228 (NV)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083849178

Prashanti Bollu, DMD, M.S., M.B.A.'s National Provider Identifier is 1083849178, issued on May 19, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Henderson, NV. The record was last updated on Feb 27, 2026.