# STEVEN DELISLE DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** sedation dental center of las vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215353511
- **Authorized official:** STEVEN DELISLE DDS (OWNER)
- **Authorized official phone:** (702) 489-5460

## Contact information

- **Practice address:** 4090 N MARTIN L KING BLVD, NORTH LAS VEGAS, NV 89032-3218
- **Practice address phone:** (702) 489-5460
- **Mailing address:** 4090 N MARTIN L KING BLVD, NORTH LAS VEGAS, NV 89032-3218
- **Mailing address phone:** (702) 489-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5929 | NV | Yes |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 03/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 22 | — | NV |