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NPI Code Detail

MEDICARE: BUFFALO215DENTAL LLC

MEDICARE: BUFFALO215DENTAL LLC
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
1122300000XDentist

General Provider Information

NPI Number : 1942184288
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUFFALO215DENTAL LLC
Provider Business Mailing Address
First Line : 6530 S BUFFALO DR STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2169
Country : US
Telephone Number : 702-505-9199
Fax Number : 702-505-4866
Provider Business Practice Location Address
First Line : 6530 S BUFFALO DR STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2169
Country : US
Telephone Number : 702-505-9199
Fax Number : 702-505-4866
Authorized Official
Title or Position : DENTIST
Name : AMANPREET BATH
Credential : DDS
Telephone Number : 510-209-1230
Provider Enumeration Date : 07/31/2025
Last Update Date : 07/31/2025

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Directions to “BUFFALO215DENTAL LLC ” Practice Location

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