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General NPI Number Information
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NPI Number | 1750789251
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Entity Type | Organization
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Legal Business Name | JAY DENTON, DDS, PLLC
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 7890 W ANN RD #150
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City | LAS VEGAS
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State | NV
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Zip | 89149-5209
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Country | US
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Telephone | 702-878-4397
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Fax |
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Provider Business Mailing Address
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Address Line | 7890 W ANN RD #150
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City | LAS VEGAS
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State | NV
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Zip | 89149-5209
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Country | US
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Telephone | 702-878-4397
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. JAY THOMAS DENTON
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Credential | DDS
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Telephone | 702-608-8737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 6285
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License Number State | NV
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