Individual ProviderJaydene McdanielDentistDental ProvidersPractice Address8380 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-2175(702) 291-2031PECOS EnrollmentBased on the most recent information from CMS, provider Jaydene Mcdaniel is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083274195Provider TypeIndividualFull NameMcdaniel, JaydeneTitleDr.CredentialDMDGenderFemaleSole ProprietorNoEnumeration Date6/20/2019Last Updated6/20/2019Contact InformationPractice LocationPractice Address8380 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-2175Phone(702) 291-2031FaxUnlisted FaxMailing LocationMailing Address2250 S Rancho Dr Ste 205, Las Vegas, NV 89102-4456PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense7210Nevada