| Ellsworth Dental Lp | |
|
53 E Lake Mead Pkwy Henderson NV 89015-5832 | |
| (702) 566-4133 | |
| Not Available |
| Full Name | Ellsworth Dental Lp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 53 E Lake Mead Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Shane L Ellswoth (MANAGING MEMBER) |
| Authorized Official Contact | 5034765242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Dental Lp 5701 W Charleston Blvd Ste 103 Las Vegas NV 89146-1256 Ph: (503) 476-5242 | Ellsworth Dental Lp 53 E Lake Mead Pkwy Henderson NV 89015-5832 Ph: (702) 566-4133 |
| NPI Number | 1992589444 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 11/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992589444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |