SPENCER J FADDIS


Address: 10870 W Charleston Blvd, 170, Las Vegas, NV 89135-1158
Phone: 7022546412

SPENCER J FADDIS (NPI# 1780050971) 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) 1780050971
Entity Type Individual
Full Name SPENCER J FADDIS
Credential DDS
Practice Address 10870 W Charleston Blvd
170
Las Vegas
NV 89135-1158
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Practice Telephone 7022546412
Practice Fax Number 7022549558
Mailing Telephone 7148458890
Mailing Fax Number 9494741495
Enumeration Date 2015-08-11
Last Update Date 2015-08-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 6658 NV Dental Providers

Office Location

Street Address 10870 W CHARLESTON BLVD
170
City LAS VEGAS
State NV
Zip Code 89135-1158

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750571535 Shahrestani Canyon Pointe Dental Group PC Dentist 10870 W Charleston Blvd, Ste 170, Las Vegas, NV 89135-1158 2007-07-27
1407160351 Nadia Roshan Optometrist 10870 W Charleston Blvd, Ste 105, Las Vegas, NV 89135-1158 2010-08-03
1073824629 Andrea Christine Radtke Optometrist 10870 W Charleston Blvd, Ste 105, Las Vegas, NV 89135-1158 2010-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743083 Summerlin Medical Durable Medical Equipment & Medical Supplies 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 2020-02-28
1902363344 Arle Troy Ceniza Jumalon Physical Therapist 10401 West Charleston Blvd, Las Vegas, NV 89135 2019-02-21
1952887473 Randon Ralph Pharmacist 10250 W.charleston Blvd, Las Vegas, NV 89135 2018-07-17
1528463981 Century Vision Center, Chtd. Optometrist 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 2014-10-28
1669808390 Nourollah Ghahreman Internal Medicine 3291 Mission Creek Court, Las Vegas, NV 89135 2013-09-26
1033485560 Jessica L Benesh Speech-Language Pathologist 11053 Crystal Crest Court, Las Vegas, NV 89135 2012-03-29
1053696237 Jaclyn Latteri Pharmacist 5442 Nettle Way, Las Vegas, NV 89135 2011-10-19
1235384033 Nancee Larson Registered Nurse 3418 Antique Rose Drive, Lasvegas, NV 89135 2008-11-20
1528250966 Manish P Gupta Internal Medicine 66 Hawkridge Drive, Las Vegas, NV 89135 2007-08-09
1205036134 Albertsons LLC Durable Medical Equipment & Medical Supplies 11720 W Charleston Blvd, Las Vegas, NV 89135 2007-07-19
Find all providers in zip 89135

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831796226 Thompson Dental Pllc Dentist 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 2020-10-08
1083227458 Khurram Fahim Dentist 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 2020-08-26
1104437532 Sean Truong Dentist 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 2020-08-10
1518585785 Jaclyn Richardson Dentist 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 2020-07-14
1588283592 Hyungbin Lee Dentist 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 2020-04-09
1205478732 Gb Dental, LLC Dentist 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 2019-10-16
1851946313 Dae D Hahm Dentist 10741 Dobbs Ave, Las Vegas, NV 89166-5112 2019-08-01
1891349239 Greta De Fatima Barba Dentist 3375 E Tropicana Ave Ste F8, Las Vegas, NV 89121-7357 2019-07-24
1316590755 Kelly Harris Dentist 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 2019-07-23
1386205045 Alexis Grace Desilva Dentist 8275 S Eastern Ave Ste 101, Las Vegas, NV 89123-2543 2019-06-24
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89135

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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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