# OMFS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043573553
- **Authorized official:** BRENDAN G JOHNSON DDS (PRESIDENT)
- **Authorized official phone:** (702) 360-8918

## Contact information

- **Practice address:** 6950 SMOKE RANCH RD, SUITE 200, LAS VEGAS, NV 89128-1300
- **Practice address phone:** (702) 360-8918
- **Practice address fax:** (702) 360-2156
- **Mailing address:** 6950 SMOKE RANCH RD, SUITE 200, LAS VEGAS, NV 89128-1300
- **Mailing address phone:** (702) 360-8918
- **Mailing address fax:** (702) 360-2156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | S228 | NV | Yes |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 06/19/2012