MOSAIC DENTAL PROF. CORP. NPI 1093919458

NPI Information

  • NPI: 1093919458
  • Provider Name: MOSAIC DENTAL, PROF. CORP.
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Doing Business As: MOSAIC DENTAL
  • Address: STAR BRITE DENTAL
    893 S. RAINBOW BLVD.
    LAS VEGAS, NV
    ZIP 89145
  • Phone: (702) 456-0034

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NPI Details

MOSAIC DENTAL, PROF. CORP. is a preferred provider organization in Las Vegas, NV. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MOSAIC DENTAL, PROF. CORP. NPI is 1093919458. The provider is registered as an organization entity type.
The provider Is Doing Business As Mosaic Dental.

The provider's business location address is:

STAR BRITE DENTAL
893 S. RAINBOW BLVD.
LAS VEGAS, NV
ZIP 89145
Phone: (702) 456-0034
Fax: (702) 856-0035

The provider's authorized official is Hai Q. Xa .
The authorized official title is Doctor and has the following contact phone number (702) 456-0034.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 8/22/2020.

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
1305R00000XPreferred Provider Organization3780NEVADAYes

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: 3/30/2025

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