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ELEAZAR VIRAY SANTIAGO GEN PTR
NPI 1043888936
Clinic/Center - Dental in Henderson, NV

Active since June 16, 2021
660 S GREEN VALLEY PKWY STE 110, HENDERSON, NV 89052(702) 610-8734 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2023, Aug 11, 2021, Jun 16, 2021 (3 updates tracked since 2021).

About Eleazar Viray Santiago Gen Ptr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEAZAR VIRAY SANTIAGO GEN PTR (NPI 1043888936) is a healthcare organization registered as a dental in Henderson, Nevada and active in the NPI registry since June 2021. The organization lists Eleazar Santiago, Doctor, as its authorized official.

NPPES Registry Identity

NPI1043888936
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCORONADO CANYON DENTISTREE
Location Address660 S GREEN VALLEY PKWY STE 110Henderson, NV 89052-0431
Mailing Address660 S Green Valley Pkwy Ste 110Henderson, NV 89052-0431 · (702) 610-8734
Phone(702) 610-8734
Organization SubpartNo
Authorized OfficialEleazar SantiagoDoctor · (702) 610-8734
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 6, 20233 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1043888936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
660 S GREEN VALLEY PKWY STE 110, Henderson, NV 89052
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Other Names 1

Other NameEleazar Viray Santiago Gen Ptr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coronado Canyon Dentistree's NPI number?

The NPI number for Coronado Canyon Dentistree is 1043888936. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is also known as Eleazar Viray Santiago Gen Ptr.

Where is Coronado Canyon Dentistree located?

Coronado Canyon Dentistree is located at 660 S Green Valley Pkwy Ste 110, Henderson, NV 89052. The listed phone number is (702) 610-8734.

What is Coronado Canyon Dentistree's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Coronado Canyon Dentistree was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.