Individual provider · NPI-1

Dr. Benjamin Abrahams, DMD

Dentist · Las Vegas, NV

NPI number1700472602
StatusActive
Last updated in NPPESDec 29, 2022

Details

NPI
1700472602
Entity type
Individual (NPI-1)
Name
Dr. Benjamin Abrahams
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 15, 2020
Certification date
Dec 29, 2022
Last updated
Dec 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist7424TUNVYes
122300000X Dentist7424NV
1223E0200X Dentist, Endodontics7424NV
1223G0001X Dentist, General Practice7424NV
1223P0300X Dentist, Periodontics7424NV
1223P0700X Dentist, Prosthodontics7424NV
1223S0112X Dentist, Oral and Maxillofacial Surgery7424NV
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics7424NV
1223X2210X Dentist, Orofacial Pain7424NV
122400000X Denturist7424NV

Practice location

5230 Boulder Hwy Ste 130
Las Vegas, NV 89122-6079

Phone 702-851-6724

Mailing address

5230 Boulder Hwy Ste 130
Las Vegas, NV 89122-6079

Phone 702-851-6724

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