Provider Demographics
NPI:1194890061
Name:PAMELA G. CAGGIANO, D.D.S., LTD
Entity type:Organization
Organization Name:PAMELA G. CAGGIANO, D.D.S., LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAGGIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-732-7878
Mailing Address - Street 1:321 N PECOS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1347
Mailing Address - Country:US
Mailing Address - Phone:702-732-7878
Mailing Address - Fax:702-734-5143
Practice Address - Street 1:321 N PECOS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1347
Practice Address - Country:US
Practice Address - Phone:702-732-7878
Practice Address - Fax:702-734-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-23
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3467122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty