# BYRON M BLASCO D M D LTD

> 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
- **Other names:** Blasco Dental & Aesthetics of Las Vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689370496
- **Authorized official:** DR. BYRON MICHAEL BLASCO DMD (DOCTOR)
- **Authorized official phone:** (702) 933-1300

## Contact information

- **Practice address:** 9940 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8553
- **Practice address phone:** (702) 933-1300
- **Mailing address:** 9940 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8553
- **Mailing address phone:** (702) 933-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/02/2023
- **Last updated:** 01/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1992881171 | NPPES | — |
| 01 | — | 2283 | STATE DENTAL LICENSE | NV |