Provider Demographics
NPI:1962388728
Name:DEL PRADO, JACQUELINE ELISA (DMD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:ELISA
Last Name:DEL PRADO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 COULEE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89441-7313
Mailing Address - Country:US
Mailing Address - Phone:702-355-2394
Mailing Address - Fax:
Practice Address - Street 1:2454 WINGFIELD HILLS RD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7202
Practice Address - Country:US
Practice Address - Phone:775-525-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV82221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice