Provider Demographics
NPI:1851008528
Name:RED ROCK PERIODONTICS & IMPLANTOLOGY
Entity Type:Organization
Organization Name:RED ROCK PERIODONTICS & IMPLANTOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CURRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:702-834-8900
Mailing Address - Street 1:7475 W SAHARA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2768
Mailing Address - Country:US
Mailing Address - Phone:702-834-8900
Mailing Address - Fax:702-834-8899
Practice Address - Street 1:7475 W SAHARA AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2768
Practice Address - Country:US
Practice Address - Phone:702-834-8900
Practice Address - Fax:702-834-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty