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

DR. NICOLE LEILA MACKIE, DDS, MS

Active Sole Proprietor

DR. NICOLE LEILA MACKIE, DDS, MS is a Pediatric Dentistry healthcare provider located in LAS VEGAS, Nevada. NPI 1205169034 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LAS VEGAS, NV

Registration Details

NPI Number
1205169034
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2009 (16.87823074251 yrs)
Last Updated
Sep 14, 2021
Licenses
DN18071 (FL)
DI024233 (NJ)
055160-1 (NY)
S543C (NV)
Sole Proprietor
Yes

Practice Information

Address
8840 W RUSSELL RD STE 210
LAS VEGAS, NV, 891481355
Browse NV providers · Browse ZIP 89148
Phone
7024631300
Fax
7024634633
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Dentist
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in LAS VEGAS, NV

Name Credential NPI
DR. NELSON D LASITER DMD 1730181850
DR. GARY A BRAUN DMD 1417932831
DR. LYLE SCOTT BROOKSBY DDS 1679588115
DR. KIKI S DOUNIS DDS 1235249822
DR. LILY T GARCIA DDS MS 1619088853
DR. MARCO TULIO PADILLA D.M.D. 1891944781
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.