Provider Demographics
NPI:1679369359
Name:DENT, TERRELL
Entity type:Individual
Prefix:
First Name:TERRELL
Middle Name:
Last Name:DENT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 GLENROSA DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-5541
Mailing Address - Country:US
Mailing Address - Phone:702-706-6386
Mailing Address - Fax:702-703-6386
Practice Address - Street 1:1608 GLENROSA DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-5541
Practice Address - Country:US
Practice Address - Phone:702-706-6386
Practice Address - Fax:702-703-6386
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant