# STEVEN DELISLE DDS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sedation Dental Center Of Las Vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568798874
- **Authorized official:** DR. STEVEN DELISLE DDS (OWNER)
- **Authorized official phone:** (425) 306-2579

## Contact information

- **Practice address:** 4080 N MARTIN L KING BLVD, SUITE 101 B, N LAS VEGAS, NV 89032-3216
- **Practice address phone:** (425) 306-2579
- **Practice address fax:** (888) 583-4140
- **Mailing address:** 2480 E TOMPKINS AVE, SUITE 102, LAS VEGAS, NV 89121-7394
- **Mailing address phone:** (425) 306-2579
- **Mailing address fax:** (888) 583-4140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5929 | NV | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 09/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 22 | — | NV |