Organization
JR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GARFIELD (OPERATIONS MANAGER)
(435) 452-1315
Entity
Organization
Contact information
Practice address
256 E LAKE MEAD PKWY, HENDERSON, NV 89015-6440
(702) 703-5410
Mailing address
256 E LAKE MEAD PKWY, HENDERSON, NV 89015-6440
(702) 703-5410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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