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NPI Code Detail

MEDICARE: TRNEVADA DENTAL PC

MEDICARE: TRNEVADA DENTAL PC
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
11223P0700XProsthodontics

General Provider Information

NPI Number : 1194650242
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRNEVADA DENTAL PC
Provider Business Mailing Address
First Line : 732 S 6TH ST STE N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6710 S FORT APACHE RD STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5395
Country : US
Telephone Number : 702-550-1227
Fax Number :
Authorized Official
Title or Position : OFFICE MANGER
Name : HOGAI WAHIDI
Credential :
Telephone Number : 940-910-4985
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “TRNEVADA DENTAL PC ” Practice Location

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