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

Dr. Deborha Lynn Staten, DMD

Individual provider General Practice Dentistry · NPI 1104175272

Dr. Deborha Lynn Staten, DMD is a General Practice Dentistry in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5475 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6410
Phone: (702) 736-7979
Fax: (702) 736-5851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6292 (NV)

Record details

NPI number1104175272
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

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