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KHALID R JILANI DMD LIMITED NPI 1629426283


NPI Information

NPI: 1629426283
Provider Name: KHALID R JILANI DMD LIMITED

Doing Business As: BONITA DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2668 LAS VEGAS BLVD N STE 101
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 748-8244
Get Directions

KHALID R JILANI DMD LIMITED is a general practice dentist in North Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KHALID R JILANI DMD LIMITED NPI is 1629426283. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bonita Dental.

The provider's business location address is:

2668 LAS VEGAS BLVD N STE 101
NORTH LAS VEGAS, NV
ZIP 89030-870
Phone: (702) 748-8244
Fax: (702) 997-1223

The provider's authorized official is Khalid Jilani .
The authorized official title is General Dentist/manager and has the following contact phone number (702) 748-8244.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223P0700XDentistProsthodonticsNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223G0001XDentistGeneral Practice6504NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100539380MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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