DR. KENNETH S DETTLAFF DMD
NPI 1467538082
Dentist - General Practice in Las Vegas, NV

Q: What is Kenneth Dettlaff's NPI number?

The NPI number for Kenneth Dettlaff is 1467538082. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Kenneth Dettlaff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Dettlaff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 27, 2006

1725 E WARM SPRINGS RD STE 2, LAS VEGAS, NV 89119(702) 270-8790(702) 270-8928 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth S Dettlaff Dmd NPPES

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

DR. KENNETH S DETTLAFF DMD (NPI 1467538082) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (4314T) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1467538082

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH S DETTLAFFCredential: DMD

Location Address1725 E WARM SPRINGS RD STE 2Las Vegas, NV 89119-0421

Mailing AddressPo Box 17179Irvine, CA 92623-7179 · (949) 567-3176 · Fax (949) 567-3185

Phone(702) 270-8790

Fax(702) 270-8928

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467538082 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 · 4314T

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.

1725 E WARM SPRINGS RD STE 2, Las Vegas, NV 89119

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Accepted Insurance

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

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 Kenneth Dettlaff's NPI number?

The NPI number for Kenneth Dettlaff is 1467538082. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Kenneth Dettlaff located?

Kenneth Dettlaff practices at 1725 E Warm Springs Rd Ste 2, Las Vegas, NV 89119. The listed phone number is (702) 270-8790.

What is Kenneth Dettlaff's specialty?

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

What insurance does Kenneth Dettlaff accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Dettlaff 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 Kenneth Dettlaff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.