TELADENTIST PC INC – NPI #1689101750
Clinic/Center

TELADENTIST PC INC is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1689101750 to TELADENTIST PC INC on May 19, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. 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 2 years ago on Dec 28, 2023. 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 TELADENTIST PC INC below.

NPI Profile for
TELADENTIST PC INC

NPI Number
1689101750
Enumeration Date

(more than 9 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
TELADENTIST PC INC
Primary location
6127 S RAINBOW BLVD STE 100
LAS VEGAS, NV 89118
Phone: (888) 588-3394 Fax:
2 Other location(s):
4720 Salisbury Rd
Jacksonville, FL 32256-6101
Phone: (888) 588-3394
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone: (888) 588-3394
Mailing address
9030 W SAHARA AVE # 699
LAS VEGAS, NV 89117-5744
Phone: (888) 588-3394 Fax:
Organization Subpart
No
Authorized Official
VILAS SASTRY
OWNER
Phone: (888) 588-3394
Updated
Certification Date
Dec 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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 5053

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.