Ilya Benjamin

LBN: Desert Dental
Ilya Benjamin is an health care organization with primary practice located at 55 S Valle Verde Dr Suite #250, Henderson NV 89012-3433. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Desert Dental can be contacted via phone (702) 260-1890, or through Benjamin, Ilya via phone (702) 260-1890.

Contact Information

Primary practice address
55 S Valle Verde Dr Suite #250 Henderson NV 89012-3433
Phone: (702) 260-1890
Fax: (702) 260-7936
Website:
Map and Directions
Authorized official contact:
Name: Benjamin, Ilya Doctor of Dental Medicine (DMD)
Phone: (702) 260-1890

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5852 Nevada

Profile Details

NPI number 1487884268
LBN Legal business name Desert Dental
DBA Doing business as Ilya Benjamin
Authorized official Benjamin, Ilya Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2009
Last updated Jul 10th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487884268 NPPES
Nevada MEDICAID 1326027095

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