Provider Demographics
NPI:1811082936
Name:CASAR, JOEL A (DMD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:CASAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 W CRAIG RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0215
Mailing Address - Country:US
Mailing Address - Phone:702-633-4333
Mailing Address - Fax:
Practice Address - Street 1:1306 W CRAIG RD
Practice Address - Street 2:SUITE H
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0215
Practice Address - Country:US
Practice Address - Phone:702-633-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4617T1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice