| Ellsworth Cox Nv Specialty Dental Services, Pllc | |
|
10400 S Eastern Ave Henderson NV 89052-3957 | |
| (702) 531-5437 | |
| Not Available |
| Full Name | Ellsworth Cox Nv Specialty Dental Services, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10400 S Eastern Ave, Henderson, Nevada |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Cox Nv Specialty Dental Services, Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Ellsworth Cox Nv Specialty Dental Services, Pllc 10400 S Eastern Ave Henderson NV 89052-3957 Ph: (702) 531-5437 |
| NPI Number | 1215664545 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215664545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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