MEDICARE: MS. VALESSA OBRIEN RDH

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	124Q00000X	Dental Hygienist	10049	NV

General Provider Information

NPI Number	:	1609727718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALESSA OBRIEN RDH

Provider Business Mailing Address
First Line	:	2540 S TORREY PINES DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5137
Country	:	US
Telephone Number	:	702-767-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 S TORREY PINES DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5137
Country	:	US
Telephone Number	:	702-367-9599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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