| Anthem Village Dental Llc | |
|
2571 Anthem Village Dr Suite #5 Henderson NV 89052-5508 | |
| (702) 454-7704 | |
| (702) 454-0200 |
| Full Name | Anthem Village Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2571 Anthem Village Dr, Henderson, Nevada |
| Authorized Official Name and Position | Robert Wilford Nisson (OFFICER IN CORPORATION) |
| Authorized Official Contact | 7024547704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthem Village Dental Llc 2571 Anthem Village Dr Suite #5 Henderson NV 89052-5508 Ph: (702) 454-7704 | Anthem Village Dental Llc 2571 Anthem Village Dr Suite #5 Henderson NV 89052-5508 Ph: (702) 454-7704 |
| NPI Number | 1043362981 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043362981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 132074 (Nevada) | Primary |
Valudental Sunset Boyd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 W Sunset Rd Ste 7, Henderson, NV 89014 Phone: 702-674-7000 | |