Provider Demographics
NPI:1568812071
Name:JAHNAVI RAO DDS, MS, LTD
Entity Type:Organization
Organization Name:JAHNAVI RAO DDS, MS, LTD
Other - Org Name:VEGAS BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAHNAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:702-998-2237
Mailing Address - Street 1:6127 S RAINBOW BLVD
Mailing Address - Street 2:STE 100A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3255
Mailing Address - Country:US
Mailing Address - Phone:702-242-5251
Mailing Address - Fax:702-243-2893
Practice Address - Street 1:3674 E SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-7234
Practice Address - Country:US
Practice Address - Phone:702-242-5251
Practice Address - Fax:702-243-2893
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAHNAVI RAO DDS, MS, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty