MEDICARE: CHRYSTOPHER PEREZ 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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1427931260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRYSTOPHER PEREZ DMD PLLC

Provider Business Mailing Address
First Line	:	9260 S RAINBOW BLVD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7261
Country	:	US
Telephone Number	:	702-401-8866
Fax Number	:

Provider Business Practice Location Address
First Line	:	9260 S RAINBOW BLVD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7261
Country	:	US
Telephone Number	:	702-401-8866
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRYSTOPHER PEREZ
Credential	:	DMD
Telephone Number	:	702-401-8866

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	01/09/2026

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