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General NPI Number Information
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NPI Number | 1275484305
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Entity Type | Organization
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Legal Business Name | VIRGIN VALLEY DENTAL
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 760 W PIONEER BLVD STE 3
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City | MESQUITE
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State | NV
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Zip | 89027-8875
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Country | US
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Telephone | 702-346-3880
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Fax |
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Provider Business Mailing Address
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Address Line | 760 W PIONEER BLVD STE 3
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City | MESQUITE
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State | NV
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Zip | 89027-8875
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Country | US
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Telephone | 702-346-3880
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. NATHAN SCOTT HARRIS
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Credential | DDS
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Telephone | 702-346-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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