# FADDIS DENTISTS OF NORTH LAS VEGAS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of North Las Vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255866158
- **Authorized official:** DR. SPENCER FADDIS DDS (OWNER)
- **Authorized official phone:** (702) 359-3107

## Contact information

- **Practice address:** 6180 N DECATUR BLVD, SUITE 100, LAS VEGAS, NV 89130-1505
- **Practice address phone:** (702) 359-3107
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050
- **Mailing address phone:** (714) 845-8500

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/13/2022