MEDICARE: VEGAS DENTAL EXPERTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1063135580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEGAS DENTAL EXPERTS

Provider Business Mailing Address
First Line	:	6870 S RAINBOW BLVD STE 119
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2108
Country	:	US
Telephone Number	:	702-876-6067
Fax Number	:	702-873-2896

Provider Business Practice Location Address
First Line	:	6870 S RAINBOW BLVD STE 119
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2108
Country	:	US
Telephone Number	:	702-876-6067
Fax Number	:	702-873-2896

Authorized Official
Title or Position	:	OWNER
Name	:	HARVEY HOWE CHIN
Credential	:	DDS
Telephone Number	:	702-876-6067

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	03/07/2023

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Directions to “VEGAS DENTAL EXPERTS ” Practice Location

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