Provider Demographics
NPI:1518773100
Name:RESSLER COMPREHENSIVE DENTISTRY
Entity type:Organization
Organization Name:RESSLER COMPREHENSIVE DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-769-1993
Mailing Address - Street 1:6115 S RAINBOW BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3252
Mailing Address - Country:US
Mailing Address - Phone:702-880-4141
Mailing Address - Fax:
Practice Address - Street 1:6115 S RAINBOW BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3252
Practice Address - Country:US
Practice Address - Phone:702-880-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental