| Inspired Dental At Sunset | |
|
110 E Bruner Ave Ste 130 Las Vegas NV 89183-5700 | |
| (702) 798-6684 | |
| (702) 798-7203 |
| Full Name | Inspired Dental At Sunset |
|---|---|
| Speciality | Dentist |
| Location | 110 E Bruner Ave Ste 130, Las Vegas, Nevada |
| Authorized Official Name and Position | Kim-vy Chanh Pham (DENTIST) |
| Authorized Official Contact | 7029855876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Dental At Sunset 110 E Bruner Ave Ste 130 Las Vegas NV 89183-5700 Ph: (702) 798-6684 | Inspired Dental At Sunset 110 E Bruner Ave Ste 130 Las Vegas NV 89183-5700 Ph: (702) 798-6684 |
| NPI Number | 1558813733 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 7315310232 |
|---|---|
| Medicare Enrollment ID | O20230223002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558813733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 6793 (Nevada) | Secondary |
| Provider Name | Kim-vy Chanh Pham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679014385 PECOS PAC ID: 9133592058 Enrollment ID: I20230223002433 |
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