NEVADAOMS
NPI 1205338563
Dentist - Oral and Maxillofacial Surgery in Las Vegas, NV

Active since March 02, 2018
4544 S PECOS RD, LAS VEGAS, NV 89121(702) 436-0900(702) 436-0636 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nevadaoms NPPES

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

NEVADAOMS (NPI 1205338563) is a healthcare organization registered as an oral and maxillofacial surgery in Las Vegas, Nevada and active in the NPI registry since March 2018. The organization lists Michel Joseph Daccache, Owner, as its authorized official.

NPPES Registry Identity

NPI1205338563
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMJD, LLC
Location Address4544 S PECOS RDLas Vegas, NV 89121-5923
Mailing Address4544 S Pecos RdLas Vegas, NV 89121-5923 · (702) 436-0900 · Fax (702) 436-0636
Fax(702) 436-0636
Organization SubpartYes
Authorized OfficialMichel Joseph DaccacheOwner · (702) 750-9444
Enumeration DateMarch 2, 2018
NPI 1205338563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NV · S2-112C
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4544 S PECOS RD, Las Vegas, NV 89121

Other Names 1

Doing Business AsNevadaoms

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Oral and Maxillofacial Surgery)
4544 S PECOS RD
LAS VEGAS, NV 89121

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 Mjd, LLC's NPI number?

The NPI number for Mjd, LLC is 1205338563. It was assigned to this organization in the NPPES registry on March 2, 2018. The provider is doing business as Nevadaoms.

Where is Mjd, LLC located?

Mjd, LLC is located at 4544 S Pecos Rd, Las Vegas, NV 89121. The listed phone number is (702) 436-0900.

What is Mjd, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Mjd, LLC accept?

Health plans from UnitedHealthcare list Mjd, LLC 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 Mjd, LLC was last updated on March 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.