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NPI Code Detail

MEDICARE: SUMMERLIN DENTAL SOLUTIONS

MEDICARE: SUMMERLIN DENTAL SOLUTIONS
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
1261QD0000XDental Clinic/Center4942NV

General Provider Information

NPI Number : 1881131241
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMERLIN DENTAL SOLUTIONS
Provider Business Mailing Address
First Line : 851 S RAMPART BLVD STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-4887
Country : US
Telephone Number : 702-341-9160
Fax Number :
Provider Business Practice Location Address
First Line : 851 S RAMPART BLVD STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-4887
Country : US
Telephone Number : 702-341-9160
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RODNEY S GLEAVE
Credential : D.M.D.
Telephone Number : 702-341-9160
Provider Enumeration Date : 01/24/2017
Last Update Date : 01/24/2017

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Directions to “SUMMERLIN DENTAL SOLUTIONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.