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MEDICAL AND DENTAL CENTER OF NEVADA LLC
NPI 1215429030
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since June 06, 2018
4275 BURNHAM AVE STE 101, LAS VEGAS, NV 89119(702) 489-3555 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Dec 1, 2022, Oct 24, 2018 (3 updates tracked since 2018).

About Medical And Dental Center Of Nevada Llc NPPES

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

MEDICAL AND DENTAL CENTER OF NEVADA LLC (NPI 1215429030) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since June 2018. The organization lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215429030
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDICAL AND DENTAL CENTER OF NEVADA LLC
Location Address4275 BURNHAM AVE STE 101Las Vegas, NV 89119-5400
Mailing Address4275 Burnham Ave Ste 101Las Vegas, NV 89119-5400 · (702) 489-3555
Phone(702) 489-3555
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (208) 340-1840
Enumeration DateJune 6, 2018
Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1215429030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4275 BURNHAM AVE STE 101, Las Vegas, NV 89119
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2152419

Medical And Dental Center Of Nevada · Las Vegas, NV
Expired · Aug 7, 2026
CLIA Number29D2152419
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorDodd Hyer
Laboratory Phone(702) 489-3555
Laboratory LocationMedical And Dental Center Of Nevada4275 Burnham Ave Ste 101, Las Vegas, NV 89119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SUKKAWALA NEVADA DENTAL TEAM, PLLC
Dentist
4275 BURNHAM AVE STE 101
LAS VEGAS, NV 89119
Clark County (702) 470-2948
EVANS NEVADA ANESTHESIA TEAM PLLC
Anesthesiology
4275 BURNHAM AVE STE 101
LAS VEGAS, NV 89119
Clark County (702) 470-2948
HEALING HANDS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
4275 BURNHAM AVE STE 101
LAS VEGAS, NV 89119
Clark County (702) 701-2490

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 Medical And Dental Center Of Nevada LLC's NPI number?

The NPI number for Medical And Dental Center Of Nevada LLC is 1215429030. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Medical And Dental Center Of Nevada LLC located?

Medical And Dental Center Of Nevada LLC is located at 4275 Burnham Ave Ste 101, Las Vegas, NV 89119. The listed phone number is (702) 489-3555.

What is Medical And Dental Center Of Nevada LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Medical And Dental Center Of Nevada LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.