MEDICARE: AFFORDABLE DENTAL AT WESTCLIFF, LLC

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	122300000X	Dentist	3692	NV

General Provider Information

NPI Number	:	1144528936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE DENTAL AT WESTCLIFF, LLC

Provider Business Mailing Address
First Line	:	6960 WESTCLIFF DR # 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4201
Country	:	US
Telephone Number	:	702-432-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	6960 WESTCLIFF DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-4201
Country	:	US
Telephone Number	:	702-450-8888
Fax Number	:

Authorized Official
Title or Position	:	OWNER / DENTIST
Name	:	DR. DAVID D TING
Credential	:
Telephone Number	:	702-990-8866

Provider Enumeration Date	:	03/03/2011
Last Update Date	:	10/23/2023

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