| Maddison Ave Dental | |
|
4358 W Cheyenne Ave N Las Vegas NV 89032-2484 | |
| (702) 735-9500 | |
| (702) 693-6500 |
| Full Name | Maddison Ave Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4358 W Cheyenne Ave, N Las Vegas, Nevada |
| Authorized Official Name and Position | Amie Leavitt (OFFICE MANAGER) |
| Authorized Official Contact | 7027359500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maddison Ave Dental 4358 W Cheyenne Ave N Las Vegas NV 89032-2484 Ph: (702) 735-9500 | Maddison Ave Dental 4358 W Cheyenne Ave N Las Vegas NV 89032-2484 Ph: (702) 735-9500 |
| NPI Number | 1316963861 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316963861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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