# ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528430790
- **Authorized official:** PATRICIA PRADA DDS (MEMBER)
- **Authorized official phone:** (702) 733-0888

## Contact information

- **Practice address:** 8380 W CHEYENNE AVE STE 104, LAS VEGAS, NV 89129-2175
- **Practice address phone:** (702) 733-0888
- **Practice address fax:** (702) 395-8718
- **Mailing address:** 526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
- **Mailing address phone:** (702) 291-2031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | S6-33C | NV | Yes |
| 1223P0221X | Pediatric Dentistry | S6-33C | NV | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | S6-33C | NV | — |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 10/27/2015