Organization
ELLSWORTH COX NV SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
ELLSWORTH COX NV SPECIALTY DENTAL SERVICES, PLLC
Other names
Leaver and Gardner Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLSWORTH COX NV SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE V DASCH (DIRECTOR OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
5765 CENTENNIAL CENTER BLVD STE 110, LAS VEGAS, NV 89149-7125
(702) 878-0764
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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