# MODERN DENTAL SPECIALIST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699556001
- **Authorized official:** ANASTASIA SAVCIC (HR)
- **Authorized official phone:** (702) 449-2643

## Contact information

- **Practice address:** 6965 S RAINBOW BLVD STE 140, LAS VEGAS, NV 89118-3280
- **Practice address phone:** (702) 200-9000
- **Mailing address:** 4618 MEADOWS LN, LAS VEGAS, NV 89107-2956
- **Mailing address phone:** (702) 200-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 10/11/2023