MEDICARE: POUYA MOMTAZ DMD PLLC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1356077440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POUYA MOMTAZ DMD PLLC

Provider Business Mailing Address
First Line	:	7445 S DURANGO DR STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3611
Country	:	US
Telephone Number	:	702-546-9936
Fax Number	:

Provider Business Practice Location Address
First Line	:	7445 S DURANGO DR STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3611
Country	:	US
Telephone Number	:	702-546-9936
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	POUYA MOMTAZ
Credential	:	DMD, MSC
Telephone Number	:	702-546-9936

Provider Enumeration Date	:	07/29/2022
Last Update Date	:	07/29/2022

Similar Medicare Providers

1407903347 — DR. DON VAN VUONG D.C.
Practice Location Address:

7445 S DURANGO DR STE 105
LAS VEGAS, NV
89113-3611

Practice Phone: 702-453-5000
Practice Fax: 702-453-3007

1891842738 — DR. JILL ANDREA VUONG D.C.
Practice Location Address:

7445 S DURANGO DR STE 105
LAS VEGAS, NV
89113-3611

Practice Phone: 702-453-5000
Practice Fax: 702-453-3007

1730236563 — ACTIVE HEALTH CHIROPRACTIC LLC
Practice Location Address:

7445 S DURANGO DR STE 105
LAS VEGAS, NV
89113-3611

Practice Phone: 702-453-5000
Practice Fax: 702-453-3007

1447294798 — DESERT EASTERN CVS LLC
Practice Location Address:

2560 E DESERT INN RD
LAS VEGAS, NV
89121-3611

Practice Phone: 702-731-2524
Practice Fax:

1174542948 — FRANCINE GREEN LCSW
Practice Location Address:

3611 LINDELL RD , SUITE 101
LAS VEGAS, NV
89103-1253

Practice Phone: 702-253-1202
Practice Fax: 702-367-1067

1548412166 — MRS. CATHERINE ELIZABETH STOCK M.A.
Practice Location Address:

3611 LINDELL RD , #101
LAS VEGAS, NV
89103-1253

Practice Phone: 702-367-0393
Practice Fax: 702-367-1067

Directions to “POUYA MOMTAZ DMD PLLC ” 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 © 2007-2026 (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.