# PROVIDENCE DENTAL DHILLON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edge Dental & Orthodontics, Inspirada Dental & Orthodontics, Red Rock Kids Dental, Hello Kids Dental, Buffalo 215 Dental & Orthodontics, West Henderson Dental, Canyon Family Dentistry, Western Henderson Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417313883
- **Authorized official:** TIFFANY LORICK (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (704) 806-3632

## Contact information

- **Practice address:** 7181 N HUALAPAI WAY, SUITE 105, LAS VEGAS, NV 89166-1115
- **Practice address phone:** (702) 349-2420
- **Mailing address:** PO BOX 35145 LB 413169, SEATTLE, WA 98124
- **Mailing address phone:** (919) 948-6787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | S6-81 | NV | Yes |

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 01/03/2023