LIFE DENTISTRY - DR DUFF, PLLC


Address: 10670 Dean Martin Dr., Suite 100, Las Vegas, NV 89141
Phone: 7028500347

LIFE DENTISTRY - DR DUFF, PLLC (NPI# 1376008193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376008193
Entity Type Organization
Organization Name LIFE DENTISTRY - DR DUFF, PLLC
Practice Address 10670 Dean Martin Dr.
Suite 100
Las Vegas
NV 89141
Mailing Address 680 Haunts Walk Ave
Las Vegas
NV 89178-1290
Practice Telephone 7028500347
Mailing Telephone 7028169615
Enumeration Date 2019-02-06
Last Update Date 2019-02-06
Authorized Official Name DR. MASON DUFF (MANAGING MEMBER)
Authorized Official Telephone 7028169615
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 10670 DEAN MARTIN DR.
SUITE 100
City LAS VEGAS
State NV
Zip Code 89141

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1376030056 Anne Florence Valdez Optometrist 5407 Ledgewood Creek Ave, Las Vegas, NV 89141 2018-04-18
1700301900 Erica Michelle Capehart Student in an Organized Health Care Education/Training Program 5564 Valensole Avenue, Las Vegas, NV 89141 2017-08-08
1912429044 Candace A Harris Community Health Worker 108186 Valencia Hills Street, Las Vegas, NV 89141 2017-07-11
1366802159 Good Samaritan Family Practice Nurse Practitioner 4220 Saxton Green Avenue, Las Vegas, NV 89141 2016-03-07
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1770131534 Robert C. Riegel, D.d.s Apc Clinic/Center 3663 E Sunset Rd Ste 507, Las Vegas, NV 89120-3299 2019-08-26
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Competitor

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City LAS VEGAS
Zip Code 89141

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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