# DENTURE & IMPLANT CENTER

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

## Provider details

- **NPI number:** 1417199621
- **Authorized official:** RICHARD D BLANCHARD D.D.S. (OWNER)
- **Authorized official phone:** (702) 474-9877

## Contact information

- **Practice address:** 1631 NEVADA HWY, BOULDER CITY, NV 89005-1908
- **Practice address phone:** (702) 474-9877
- **Practice address fax:** (702) 293-2335
- **Mailing address:** 1631 NEVADA HWY, BOULDER CITY, NV 89005-1908
- **Mailing address phone:** (702) 474-9877
- **Mailing address fax:** (702) 293-2335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0461 | NV | Yes |

## Other

- **Enumeration date:** 04/02/2009
- **Last updated:** 04/02/2009