Provider Demographics
NPI:1700817137
Name:KRISTEN L. BELING, D.D.S., WILLIAM J. DOUGHERTY, D.M.D., P.C
Entity Type:Organization
Organization Name:KRISTEN L. BELING, D.D.S., WILLIAM J. DOUGHERTY, D.M.D., P.C
Other - Org Name:SUNSET ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DOUGHERTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-436-4300
Mailing Address - Street 1:54 N PECOS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7329
Mailing Address - Country:US
Mailing Address - Phone:702-436-4300
Mailing Address - Fax:702-436-0334
Practice Address - Street 1:54 N PECOS RD
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7329
Practice Address - Country:US
Practice Address - Phone:702-436-4300
Practice Address - Fax:702-436-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty