Healthcare Provider Details

I. General information

NPI: 1609788876
Provider Name (Legal Business Name): CELENA ASFAHANI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SUNSET WAY
HENDERSON NV
89014-2015
US

IV. Provider business mailing address

3161 SUNRIDGE HEIGHTS PKWY UNIT 2416
HENDERSON NV
89052-5093
US

V. Phone/Fax

Practice location:
  • Phone: 702-968-5222
  • Fax:
Mailing address:
  • Phone: 949-466-5826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberLL64526
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: