Provider Demographics
NPI:1043309826
Name:ABSOLUTE DENTAL-FLAMINGO, LLP
Entity Type:Organization
Organization Name:ABSOLUTE DENTAL-FLAMINGO, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-435-3888
Mailing Address - Street 1:3830 E FLAMINGO RD
Mailing Address - Street 2:SUITE E-2
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-6234
Mailing Address - Country:US
Mailing Address - Phone:702-435-3888
Mailing Address - Fax:702-436-2975
Practice Address - Street 1:3830 E FLAMINGO RD
Practice Address - Street 2:SUITE E-2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-6234
Practice Address - Country:US
Practice Address - Phone:702-435-3888
Practice Address - Fax:702-436-2975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV34901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty