<unavail> in Henderson, NV - Medicare Clinic/Center

is a medicare enrolled dental clinic (Clinic/center - Dental) in Henderson, Nevada. The current practice location for is 660 S Green Valley Pkwy Ste 110, Henderson, Nevada. For appointments, you can reach them via phone at (702) 610-8734. The mailing address for is 660 S Green Valley Pkwy Ste 110, Henderson, Nevada and phone number is (702) 610-8734.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043888936. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (702) 610-8734.

Contact Information


	660 S Green Valley Pkwy Ste 110 Henderson NV 89052-0431
	(702) 610-8734
	Not Available

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	660 S Green Valley Pkwy Ste 110, Henderson, Nevada
Authorized Official Name and Position	Eleazar Santiago (DOCTOR)
Authorized Official Contact	7026108734
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
660 S Green Valley Pkwy Ste 110 Henderson NV 89052-0431 Ph: (702) 610-8734	660 S Green Valley Pkwy Ste 110 Henderson NV 89052-0431 Ph: (702) 610-8734

NPI Details:

NPI Number	1043888936
Provider Enumeration Date	06/16/2021
Last Update Date	06/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3375933906
Medicare Enrollment ID	O20211214000545

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043888936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	(* (Not Available))	Secondary
261QD0000X	Clinic/center - Dental	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Eleazar Santiago
Provider Type	Practitioner - Dentist
Provider Identifiers	NPI Number: 1982755898 PECOS PAC ID: 0840610333 Enrollment ID: I20201022001133

Reviews and Comments

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Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 N Green Valley Pkwy, Suite 4d, Henderson, NV 89074 Phone: 702-270-4800 Fax: 702-270-4900

- Medicare Dental Clinic in Henderson, NV