Provider Demographics
NPI:1689350860
Name:PRESUTTI, HALEE REANN (DDS)
Entity type:Individual
Prefix:DR
First Name:HALEE
Middle Name:REANN
Last Name:PRESUTTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HALEE
Other - Middle Name:REANN
Other - Last Name:PRESUTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2641 SEAHORSE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6877
Mailing Address - Country:US
Mailing Address - Phone:602-821-1676
Mailing Address - Fax:
Practice Address - Street 1:9575 W TROPICANA AVE STE 5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8491
Practice Address - Country:US
Practice Address - Phone:702-633-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK77221223G0001X
NV81441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice