Healthcare Provider Details

I. General information

NPI: 1689593600
Provider Name (Legal Business Name): MOHAMMAD ABDELHADY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 E FLAMINGO RD STE 17A
LAS VEGAS NV
89119-5276
US

IV. Provider business mailing address

1621 E FLAMINGO RD STE 17A
LAS VEGAS NV
89119-5276
US

V. Phone/Fax

Practice location:
  • Phone: 702-757-6803
  • Fax:
Mailing address:
  • Phone: 702-757-6803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MOHAMMAD ABDELHADY
Title or Position: DENTIST
Credential: DMD
Phone: 775-720-5229