Organization · NPI-2

Anthem Dental INC

Dentist, General Practice · Henderson, NV

NPI number1306069828
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1306069828
Entity type
Organization (NPI-2)
Legal business name
Anthem Dental INC
Organization subpart
No
Enumeration date
Apr 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice3522NVYes

Practice location

10960 S Eastern Ave
Ste 112
Henderson, NV 89052-4977

Phone 702-616-1600 · Fax 702-616-6611

Mailing address

10960 S Eastern Ave
Ste 112
Henderson, NV 89052-4977

Phone 702-616-1600 · Fax 702-616-6611

Authorized official

Kathy Latifi
President
7026161600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Henderson, NV