Mountain View Dental
Dentist in Las Vegas, NV. Organization (NPI-2).
NPI number1881815355
StatusActive
Last updated in NPPESNov 8, 2016
Details
- NPI
- 1881815355
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain View Dental
- Organization subpart
- No
- Enumeration date
- May 1, 2007
- Last updated
- Nov 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3697 | NV | Yes |
Practice location
3625 S Rainbow Blvd Ste 103Las Vegas, NV 89103-1000
Phone 702-227-0085 · Fax 702-227-9275
Mailing address
3625 S Rainbow Blvd Ste 103Las Vegas, NV 89103-1000
Phone 702-227-0085 · Fax 702-227-9275
Authorized official
Paul Hoang Phan
President
7022270085
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.
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