Provider Demographics
NPI:1548582166
Name:AFFINITY DENTAL
Entity Type:Organization
Organization Name:AFFINITY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:702-562-3289
Mailing Address - Street 1:1811 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0894
Mailing Address - Country:US
Mailing Address - Phone:702-562-5044
Mailing Address - Fax:702-562-3289
Practice Address - Street 1:1811 S RAINBOW BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0894
Practice Address - Country:US
Practice Address - Phone:702-562-5044
Practice Address - Fax:702-562-3289
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES B. CURTIS, D D S, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV2367261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental