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NPI Code Detail

MEDICARE: DR. CHAD TIMOTHY DAINS D.D.S

MEDICARE:  DR. CHAD TIMOTHY DAINS  D.D.S
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
1122300000XDentist5280NV

General Provider Information

NPI Number : 1659419182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD TIMOTHY DAINS D.D.S
Provider Business Mailing Address
First Line : 11452 PARKERSBURG AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-6089
Country : US
Telephone Number : 949-433-4931
Fax Number :
Provider Business Practice Location Address
First Line : 10870 W CHARLESTON BLVD STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1170
Country : US
Telephone Number : 702-254-9609
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 03/01/2013

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Directions to “ DR. CHAD TIMOTHY DAINS D.D.S” Practice Location

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