Mr. Gavin Lee Banning
Mr. Gavin Lee Banning is a General Practice Dentistry in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.
- Licensed in
- NV
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1001 Shadow LnLas Vegas, NV 89106-4124
Phone: (702) 774-2400
Show map & directions
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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 8055 (NV) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548948938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2023 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
| Mailing address | 1001 Shadow Ln, Las Vegas, NV 89106-4124 |
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