# ENDODONTIC GROUP

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

## Provider details

- **NPI number:** 1447375241
- **Authorized official:** DR. THOMAS HECK (DENTIST)
- **Authorized official phone:** (702) 731-1658

## Contact information

- **Practice address:** 4408 S EASTERN AVE \# 100, LAS VEGAS, NV 89119-7825
- **Practice address phone:** (702) 731-1658
- **Practice address fax:** (702) 731-5262
- **Mailing address:** 4408 S EASTERN AVE \# 100, LAS VEGAS, NV 89119-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 2269 | NV | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020
