Healthcare Provider Details

I. General information

NPI: 1730008095
Provider Name (Legal Business Name): CHUN HEI IP DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7910 W TROPICAL PKWY STE 140
LAS VEGAS NV
89149-4555
US

IV. Provider business mailing address

8459 VACAREZ DR
LAS VEGAS NV
89149-4711
US

V. Phone/Fax

Practice location:
  • Phone: 702-273-3676
  • Fax:
Mailing address:
  • Phone: 661-578-3539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8421
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: