Healthcare Provider Details

I. General information

NPI: 1114378866
Provider Name (Legal Business Name): LARRY SHING-HUEN HON D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 N STEPHANIE ST STE 104
HENDERSON NV
89014-8029
US

IV. Provider business mailing address

390 N STEPHANIE ST STE 104
HENDERSON NV
89014-8029
US

V. Phone/Fax

Practice location:
  • Phone: 702-389-5215
  • Fax:
Mailing address:
  • Phone: 702-389-5215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberS6-165
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: