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DR. DEBORHA LYNN STATEN D.M.D.
NPI 1104175272
Dentist - General Practice in Las Vegas, NV

Active since September 05, 2012
5475 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148(702) 736-7979(702) 736-5851 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Deborha Lynn Staten D.m.d. NPPES

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

DR. DEBORHA LYNN STATEN D.M.D. (NPI 1104175272) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (6292) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1104175272
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEBORHA LYNN STATENCredential: D.M.D.
Location Address5475 S FORT APACHE RD STE 100Las Vegas, NV 89148-6410
Mailing Address680 Prosser Creek PlHenderson, NV 89002-0953 · (702) 595-6505
Phone(702) 736-7979
Fax(702) 736-5851
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1104175272 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 · 6292
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.
5475 S FORT APACHE RD STE 100, Las Vegas, NV 89148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GHERIANI DENTAL PLLC
Clinic/Center (Dental)
5475 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 702-1609
YASSER GHERIANI
Dentist
5475 S FORT APACHE RD STE 100
LAS VEGAS, NV 89148
Clark County (702) 702-1609

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 Deborha Staten's NPI number?

The NPI number for Deborha Staten is 1104175272. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Deborha Staten located?

Deborha Staten practices at 5475 S Fort Apache Rd Ste 100, Las Vegas, NV 89148. The listed phone number is (702) 736-7979.

What is Deborha Staten's specialty?

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

What insurance does Deborha Staten accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Deborha Staten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deborha Staten was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.