Individual ProviderKatelyn DennisDentistDental ProvidersPractice Address7171 W Craig Rd Ste 102, Las Vegas, NV 89129-6018(702) 655-0331PECOS EnrollmentBased on the most recent information from CMS, provider Katelyn Dennis 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 ID1235020751Provider TypeIndividualFull NameDennis, KatelynCredentialDDSGenderFemaleSole ProprietorNoEnumeration Date7/12/2025Last Updated7/12/2025Contact InformationPractice LocationPractice Address7171 W Craig Rd Ste 102, Las Vegas, NV 89129-6018Phone(702) 655-0331FaxUnlisted FaxMailing LocationMailing Address9364 Draconis Ave, Las Vegas, NV 89143-1345PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense8225Nevada