# NICHOLAS A MAFFEO DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Vegas Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962831420
- **Authorized official:** DR. NICHOLAS ANTHONY MAFFEO DMD (OWNER/MANAGER/DENTIST)
- **Authorized official phone:** (702) 870-5165

## Contact information

- **Practice address:** 2701 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2154
- **Practice address phone:** (702) 870-5165
- **Mailing address:** 2701 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2154
- **Mailing address phone:** (702) 870-5165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5638,890,774,2513 | NV | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013