# NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.

> 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
- **Parent organization:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Other names:** Desert Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760096614
- **Legal business name:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Authorized official:** TABATHA LEMKE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-6078

## Contact information

- **Practice address:** 55 S VALLE VERDE DR STE 250, HENDERSON, NV 89012-3479
- **Practice address phone:** (702) 979-7541
- **Mailing address:** 55 S VALLE VERDE DR STE 250, HENDERSON, NV 89012-3479
- **Mailing address phone:** (702) 979-7541

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 09/26/2022