Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Surgical Specialists LLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1932801776

Canyon Surgical Specialists LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Las Vegas, Nevada. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6200 N Durango Dr Ste 100
Las Vegas, NV 89149-3939
Phone: (702) 660-5574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Otolaryngology Physician Taxonomy 207Y00000X

Record details

NPI number1932801776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Falk — Member · (702) 660-5574
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address6200 N Durango Dr Ste 100, Las Vegas, NV 89149-3939

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