Provider Demographics
NPI:1699587519
Name:S1 RCT PLLC
Entity type:Organization
Organization Name:S1 RCT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-263-2000
Mailing Address - Street 1:2510 WIGWAM PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7116
Mailing Address - Country:US
Mailing Address - Phone:702-263-2000
Mailing Address - Fax:702-263-3036
Practice Address - Street 1:2510 WIGWAM PKWY STE 200
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7116
Practice Address - Country:US
Practice Address - Phone:702-263-2000
Practice Address - Fax:702-263-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental