Provider Demographics
NPI:1659419182
Name:DAINS, CHAD TIMOTHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:TIMOTHY
Last Name:DAINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11452 PARKERSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-6089
Mailing Address - Country:US
Mailing Address - Phone:949-433-4931
Mailing Address - Fax:
Practice Address - Street 1:10870 W CHARLESTON BLVD STE 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-1170
Practice Address - Country:US
Practice Address - Phone:702-254-9609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5280122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist