# NEVADA DENTAL SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevada Dental Specialists- O.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538496120
- **Authorized official:** BENNY KOHANTEB (OWNER)
- **Authorized official phone:** (702) 435-5015

## Contact information

- **Practice address:** 6490 S MCCARRAN BLVD, \#17, RENO, NV 89509-6165
- **Practice address phone:** (775) 787-8900
- **Practice address fax:** (775) 829-8901
- **Mailing address:** 526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
- **Mailing address phone:** (702) 435-5015
- **Mailing address fax:** (702) 366-1483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2009
- **Last updated:** 11/03/2009