Dr. C Leonard Fath
Endodontist Dentist - General Practice
1001 Shadow Ln Ms 7414
Las Vegas
, Nevada 89106-4124
Dr. C Leonard Fath
Endodontist Dentist - General Practice
1001 Shadow Ln Ms 7414
Las Vegas
, Nevada 89106-4124
(702) 371-8000
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About
Features
Specialties
- Endodontist
- General Practice
Languages spoken
- English
Location
First Address
- Dr. C Leonard Fath
- 1348 Dusty Creek St
- Las Vegas, NV
- Zip : 89128-2162
- Phone : (702) 371-8000
Second Address
- Dr. C Leonard Fath
- 1001 Shadow Ln Ms 7414
- Las Vegas, NV
- Zip : 89106-4124
- Phone : (702) 371-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | S7-102 | NV |
| N | 1223G0001X | General Practice | 019-019555 | IL |
| N | 213EG0000X | General Practice | 019-019555 | IL |
| N | 1223G0001X | General Practice | 4164 | NV |
| N | 213EG0000X | General Practice | 4164 | NV |
National Provider Identifier
| NPI | 1033204243 |
|---|---|
| Provider Name | Dr. C Leonard Fath |
| First Address | Las Vegas, NV 89128-2162 |
| Second Address | Las Vegas, NV 89106-4124 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 01/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.