Provider Demographics
NPI:1033925243
Name:DAY 1 DENTAL, PLLC
Entity type:Organization
Organization Name:DAY 1 DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:II
Authorized Official - Credentials:DMD
Authorized Official - Phone:725-331-3291
Mailing Address - Street 1:9530 S EASTERN AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-8036
Mailing Address - Country:US
Mailing Address - Phone:725-333-1291
Mailing Address - Fax:725-331-3290
Practice Address - Street 1:9530 S EASTERN AVE STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-8036
Practice Address - Country:US
Practice Address - Phone:725-331-3291
Practice Address - Fax:725-331-3290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental