HENDERSON MODERN DENTISTRY
NPI 1083098032
Dentist - General Practice in Henderson, NV

Q: What is Henderson Modern Dentistry's NPI number?

The NPI number for Henderson Modern Dentistry is 1083098032. It was assigned to this organization in the NPPES registry on July 18, 2015.

Q: What is Henderson Modern Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 18, 2015

386 W LAKE MEAD PKWY, SUITE 100, HENDERSON, NV 89015(702) 464-3090 Get Directions Write a Review

NPPES record last updated: July 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Henderson Modern Dentistry NPPES

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

HENDERSON MODERN DENTISTRY (NPI 1083098032) is a healthcare organization registered as a general practice in Henderson, Nevada and active in the NPI registry since July 2015. The organization lists Cody Mugleston, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1083098032

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHENDERSON MODERN DENTISTRY

Location Address386 W LAKE MEAD PKWY, SUITE 100Henderson, NV 89015-7417

Mailing Address831 Coronado Center Dr, #22205Henderson, NV 89052-3991 · (516) 343-8731

Phone(702) 464-3090

Organization SubpartNo

Authorized OfficialCody MuglestonOwner Doctor · (702) 464-3090

Enumeration DateJuly 18, 2015

✔ NPI 1083098032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NV · 6650

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

386 W LAKE MEAD PKWY, Henderson, NV 89015

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Henderson Modern Dentistry's NPI number?

The NPI number for Henderson Modern Dentistry is 1083098032. It was assigned to this organization in the NPPES registry on July 18, 2015.

Where is Henderson Modern Dentistry located?

Henderson Modern Dentistry is located at 386 W Lake Mead Pkwy Suite 100, Henderson, NV 89015. The listed phone number is (702) 464-3090.

What is Henderson Modern Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Henderson Modern Dentistry was last updated on July 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.