MEDICARE: ABSOLUTE DENTAL FARM ROAD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1134391683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE DENTAL FARM ROAD LLC

Provider Business Mailing Address
First Line	:	501 S RANCHO DR
Second Line	:	B-11
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4828
Country	:	US
Telephone Number	:	702-435-5015
Fax Number	:	702-366-1483

Provider Business Practice Location Address
First Line	:	8430 FARM RD
Second Line	:	120
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8166
Country	:	US
Telephone Number	:	702-435-5015
Fax Number	:	702-366-1483

Authorized Official
Title or Position	:	OWNER
Name	:	BENNY K KOHANTEB
Credential	:	DDS
Telephone Number	:	702-435-5015

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	03/25/2008

Similar Medicare Providers

1477574515 — STARBRITE DENTAL, LLC
Practice Location Address:

8430 FARM RD , SUITE 120
LAS VEGAS, NV
89131-8166

Practice Phone: 702-452-8323
Practice Fax: 702-658-6832

1033261185 — DR. JOHN HANG D.D.S
Practice Location Address:

8430 FARM RD , STE. 120
LAS VEGAS, NV
89131-8166

Practice Phone: 702-732-1010
Practice Fax: 702-658-6832

1467647842 — KRISTEN MICHELLE KUDREWICZ DMD
Practice Location Address:

8430 FARM RD , STE. 120
LAS VEGAS, NV
89131-8166

Practice Phone: 702-732-1010
Practice Fax: 702-658-6832

1215193313 — ARTISTIC ORTHODONTICS, INC
Practice Location Address:

8430 FARM RD , #120
LAS VEGAS, NV
89131-8166

Practice Phone: 702-732-1010
Practice Fax: 702-658-6832

1346406808 — DR. SARIKA PATEL DMD
Practice Location Address:

8430 FARM RD , #120
LAS VEGAS, NV
89131-8166

Practice Phone: 702-732-1010
Practice Fax:

1669821831 — KOSTIKA POLENA D.M.D.
Practice Location Address:

8430 FARM RD , STE. 120
LAS VEGAS, NV
89131-8166

Practice Phone: 702-732-1010
Practice Fax: 702-658-6832

Directions to “ABSOLUTE DENTAL FARM ROAD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.