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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366146193

Dr. Philip Punzalan, DMD is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
Specialties on file
2
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

1700 W Charleston Blvd
Las Vegas, NV 89102-2335
Phone: (702) 774-2690
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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 7852 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366146193
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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