Provider Demographics
NPI:1639802325
Name:ADAM LOUSIGNONT DMD PC
Entity Type:Organization
Organization Name:ADAM LOUSIGNONT DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUSIGNONT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-686-5990
Mailing Address - Street 1:196 OZUNA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-5002
Mailing Address - Country:US
Mailing Address - Phone:702-686-5990
Mailing Address - Fax:
Practice Address - Street 1:60 S STEPHANIE ST STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5559
Practice Address - Country:US
Practice Address - Phone:702-558-5788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty