MEDICARE: HEALTH CENTERED DENTISTRY PA

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	208D00000X	General Practice Physician
2	122300000X	Dentist

General Provider Information

NPI Number	:	1366386260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CENTERED DENTISTRY PA

Provider Business Mailing Address
First Line	:	8565 S EASTERN AVE STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2906
Country	:	US
Telephone Number	:	855-313-0480
Fax Number	:	855-313-0480

Provider Business Practice Location Address
First Line	:	8560 S EASTERN AVE STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2848
Country	:	US
Telephone Number	:	855-313-0480
Fax Number	:	855-313-0480

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SHARI EVANS
Credential	:	MD
Telephone Number	:	855-313-0480

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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