Individual provider · Type 1 NPI

Lauri R. Staretz

Periodontics · Las Vegas, NV

NPI number 1376602235 Active

Practice location

1700 W Charleston Blvd
Las Vegas, NV 89106

Call (702) 774-2816 Map

Fax (702) 774-2811

Mailing address

1001 Shadow Lane A103
Las Vegas, NV 89106

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X4688T (NV)
Periodontics Primary 1223P0300X4688T (NV)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1376602235

Lauri R. Staretz's National Provider Identifier is 1376602235, issued on Dec 7, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 11, 2025.