Healthcare Provider Details

I. General information

NPI: 1871417832
Provider Name (Legal Business Name): DR. CESAR NICOLAS MARQUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4358 W CHEYENNE AVE
NORTH LAS VEGAS NV
89032-2484
US

IV. Provider business mailing address

637 BLOSSOM BERRY CT
NORTH LAS VEGAS NV
89031-1759
US

V. Phone/Fax

Practice location:
  • Phone: 702-735-9500
  • Fax:
Mailing address:
  • Phone: 725-275-0821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8473
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: