Organization · Type 2 NPI

Boulder Dental Group, LLC

General Practice Dentistry · Las Vegas, NV

NPI number 1245677152 Active

Practice location

6325 E Russell Rd, #100
Las Vegas, NV 89122-7069

Fax (702) 382-4469

Mailing address

526 S Tonopah Dr, #200
Las Vegas, NV 89106-4043

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XS6-81 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1245677152

Boulder Dental Group, LLC's National Provider Identifier is 1245677152, issued on May 31, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on May 31, 2013.