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General NPI Number Information
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NPI Number | 1225996945
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Entity Type | Organization
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Legal Business Name | CELEBRACES SUNRISE LOVELAND PLLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 5001 E BONANZA RD STE 124
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City | LAS VEGAS
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State | NV
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Zip | 89110-3561
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Country | US
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Telephone | 702-756-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 E BONANZA RD STE 124
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City | LAS VEGAS
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State | NV
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Zip | 89110-3561
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Country | US
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Telephone | 702-756-7000
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | KELCEY GORDON LOVELAND
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Credential | DMD, MS
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Telephone | 702-756-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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