# LUTH & HEIDIEMAN CENTER FOR DENTAL CARE

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

## Provider details

- **NPI number:** 1528103629
- **Authorized official:** HEIDI A PROVOST (OFFICE MANAGER)
- **Authorized official phone:** (702) 304-1902

## Contact information

- **Practice address:** 6950 W SMOKE RANCH ROAD \#150, LAS VEGAS, NV 89128
- **Practice address phone:** (702) 304-1902
- **Practice address fax:** (702) 304-1909
- **Mailing address:** 6950 W SMOKE RANCH ROAD \#150, LAS VEGAS, NV 89128
- **Mailing address phone:** (702) 304-1902
- **Mailing address fax:** (702) 304-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4801 | NV | — |
| 1223G0001X | General Practice Dentistry | 4845 | NV | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020