Healthcare Provider Details

I. General information

NPI: 1750552634
Provider Name (Legal Business Name): CHELIAN JONES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6592 N DECATUR BLVD STE 160
LAS VEGAS NV
89131-1040
US

IV. Provider business mailing address

6592 N DECATUR BLVD STE 160
LAS VEGAS NV
89131-1040
US

V. Phone/Fax

Practice location:
  • Phone: 702-648-2564
  • Fax: 702-648-2574
Mailing address:
  • Phone: 702-648-2564
  • Fax: 702-648-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. NAREN CHELIAN
Title or Position: OWNER (PARTNER: MATHEW JONES)
Credential: DDS
Phone: 702-648-2564