MEDICARE: AFFINITY DENTAL

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	261QD0000X	Dental Clinic/Center	NV2367	NV

General Provider Information

NPI Number	:	1548582166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY DENTAL

Provider Business Mailing Address
First Line	:	1811 S RAINBOW BLVD
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0894
Country	:	US
Telephone Number	:	702-562-5044
Fax Number	:	702-562-3289

Provider Business Practice Location Address
First Line	:	1811 S RAINBOW BLVD
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0894
Country	:	US
Telephone Number	:	702-562-5044
Fax Number	:	702-562-3289

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. JAMES B CURTIS
Credential	:	D D S
Telephone Number	:	702-562-3289

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	02/23/2010

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Directions to “AFFINITY DENTAL ” Practice Location

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