MEDICARE: DENTAL SLEEP SOLUTIONS OF LAS VEGAS

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225720907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL SLEEP SOLUTIONS OF LAS VEGAS

Provider Business Mailing Address
First Line	:	8685 W SAHARA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5880
Country	:	US
Telephone Number	:	702-243-7326
Fax Number	:

Provider Business Practice Location Address
First Line	:	8685 W SAHARA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5880
Country	:	US
Telephone Number	:	702-243-7326
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. ILYA BENJAMIN
Credential	:
Telephone Number	:	702-243-7326

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/26/2023

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