Provider Demographics
NPI:1912120437
Name:DOUGLAS C. ASHMAN, DDS
Entity Type:Organization
Organization Name:DOUGLAS C. ASHMAN, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-938-2010
Mailing Address - Street 1:1485 W WARM SPRINGS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7631
Mailing Address - Country:US
Mailing Address - Phone:702-938-2010
Mailing Address - Fax:702-938-2011
Practice Address - Street 1:1485 W WARM SPRINGS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7631
Practice Address - Country:US
Practice Address - Phone:702-938-2010
Practice Address - Fax:702-938-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV23291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty