Individual provider · Type 1 NPI
Michel Daccache, DDS
Oral and Maxillofacial Surgery (Dentist) · Las Vegas, NV
Practice location
1701 W Charleston Blvd Ste 520
Las Vegas, NV 89102-2309
Mailing address
2199 Stage Stop Dr
Henderson, NV 89052-5825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS037022 (PA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | S2-112C (NV) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1285881243
Michel Daccache, DDS's National Provider Identifier is 1285881243, issued on Aug 21, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 30, 2017.