Provider Demographics
NPI:1972858231
Name:SAXE ORTHODONTICS
Entity Type:Organization
Organization Name:SAXE ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-541-7070
Mailing Address - Street 1:3555 S TOWN CENTER DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3041
Mailing Address - Country:US
Mailing Address - Phone:702-541-7070
Mailing Address - Fax:702-541-7071
Practice Address - Street 1:3555 S TOWN CENTER DR
Practice Address - Street 2:SUITE 104
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-3041
Practice Address - Country:US
Practice Address - Phone:702-541-7070
Practice Address - Fax:702-541-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty