CRESTVIEW DENTAL – NPI #1053529651
Clinic/Center

CRESTVIEW DENTAL is an AHC clinic located in HENDERSON, NV. NPPES has assigned the NPI number 1053529651 to CRESTVIEW DENTAL on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRESTVIEW DENTAL below.

NPI Profile for
CRESTVIEW DENTAL

NPI Number
1053529651
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRESTVIEW DENTAL
Primary location
60 S. STEPHANIE ST
HENDERSON, NV 89012
Phone: (702) 558-5788 Fax: (702) 558-7388
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TONY LEE
PRESIDENT
Phone: (702) 257-6767
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 NV

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.