Mackie, Nicole Leila

Mackie, Nicole Leila is an sole proprietor health care provider with primary practice located at 8840 W Russell Rd Ste 210 , Las Vegas NV 89148-1355. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is her primary health care specialty. Mackie, Nicole Leila can be contacted via phone (702) 463-1300.

Contact Information

Primary practice address
8840 W Russell Rd Ste 210 Las Vegas NV 89148-1355
Phone: (702) 463-1300
Fax: (702) 463-4633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18071 Florida
Dental Providers / Dentist 122300000X DI024233 New Jersey
Dental Providers / Prosthodontics 1223P0700X 055160-1 New York
Dental Providers / Prosthodontics 1223P0700X S543C Nevada

Profile Details

NPI number 1205169034
LBN Legal business name Mackie, Nicole Leila
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2009
Last updated Sep 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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