# A OMEGA DENTAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114320983
- **Authorized official:** DOMINIC DO DDS (PRESIDENT)
- **Authorized official phone:** (702) 722-8423

## Contact information

- **Practice address:** 6775 E LAKE MEAD BLVD, STE \# B9 & B10, LAS VEGAS, NV 89156
- **Practice address phone:** (702) 570-5072
- **Practice address fax:** (702) 570-5384
- **Mailing address:** 6775 E LAKE MEAD BLVD, STE \# B9 & B10, LAS VEGAS, NV 89156
- **Mailing address phone:** (702) 570-5072
- **Mailing address fax:** (702) 570-5384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 10/07/2014