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

Dr. Pawan Gautam, MDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1053742742

Dr. Pawan Gautam, MDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2013
Specialties on file
2

Practice location Address checks out

210 E Flamingo Rd Unit 217
Las Vegas, NV 89169-4793
Phone: (760) 447-2655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DDS103359 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence S3-245C (NV)

Record details

NPI number1053742742
Entity typeIndividual (Type 1)
GenderMale
Credentials MDS
Sole proprietorYes
NPI enumeratedDecember 5, 2013
Last updated in NPPESMarch 22, 2019

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