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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAWAN GAUTAM, MDS

Active Sole Proprietor

DR. PAWAN GAUTAM, MDS is a Orthodontics healthcare provider located in LAS VEGAS, Nevada. NPI 1053742742 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · LAS VEGAS, NV

Registration Details

NPI Number
1053742742
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2013 (12.707298682816 yrs)
Last Updated
Mar 22, 2019
Licenses
S3-245C (NV)
DDS103359 (CA)
Sole Proprietor
Yes

Practice Information

Address
210 E FLAMINGO RD
UNIT 217
LAS VEGAS, NV, 891694793
Browse NV providers · Browse ZIP 89169
Phone
7604472655
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in LAS VEGAS, NV

Name Credential NPI
DR. JEFFREY B. MCMILLAN D.D.S. 1821060096
CHUN YU YOGI CHEN DMD 1841212461
DR. DOUGLAS K. SIMISTER D.D.S. 1255347803
DR. SCOTT E LEAVER DDS, MSD 1730291873
DR. ROBERT H THALGOTT DMD, MS 1457453797
DR. DAVE L. SMITH D.D.S., M.S. 1083713887
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.