Provider Demographics
NPI:1437496569
Name:TOOP, JAMIE ATIGA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:ATIGA
Last Name:TOOP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:CRISTINE
Other - Last Name:ATIGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2083 CAPE COD LANDING DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7175 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1302
Practice Address - Country:US
Practice Address - Phone:702-228-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist