BLUE DENTAL, LLC (NPI# 1023494838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023494838 |
| Entity Type | Organization |
| Organization Name | BLUE DENTAL, LLC |
| Practice Address |
8380 W Cheyenne Ave 102 Las Vegas NV 89129-8405 |
| Mailing Address |
526 S Tonopah Dr 200 Las Vegas NV 89106-4043 |
| Practice Telephone | 7023888989 |
| Practice Fax Number | 7023960075 |
| Mailing Telephone | 7024355015 |
| Mailing Fax Number | 7023661483 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | BENNY KOHANTEB (OWNER) |
| Authorized Official Telephone | 7024355015 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4509 | NV | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BLUE DENTAL, LLC | 25 Hillberry Lane, Holbrook, New York 11741 |
| Street Address |
8380 W CHEYENNE AVE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89129-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689769390 | Michael A Alterman | Dentist | 8380 W Cheyenne Ave, Suite 103, Las Vegas, NV 89129-8405 | 2006-10-04 |
| 1275998270 | Southern Nevada Specialty Prada, Pllc | Dentist | 8380 W Cheyenne Ave, #104, Las Vegas, NV 89129-8405 | 2015-12-18 |
| 1336495837 | Sarah Kitchen | Dentist | 8380 W Cheyenne Ave, Ste. 102, Las Vegas, NV 89129-8405 | 2012-08-02 |
| 1497911564 | Christine Tolentino Navales | Dentist | 8380 W Cheyenne Ave, Suite 103, Las Vegas, NV 89129-8405 | 2008-07-29 |
| 1649360306 | Patricia Prada | Dentist | 8380 W Cheyenne Ave, 104, Las Vegas, NV 89129-8405 | 2006-10-13 |
| 1225127004 | Absolute Dental, Inc | Dentist | 8380 W Cheyenne Ave, Suite 103, Las Vegas, NV 89129-8405 | 2006-10-12 |
| 1972690030 | Artistic Orthodontics, Inc | Dentist | 8380 W Cheyenne Ave, 102, Las Vegas, NV 89129-8405 | 2006-10-09 |
| 1326135484 | Absolute Kids, Inc | Dentist | 8380 W Cheyenne Ave, 104, Las Vegas, NV 89129-8405 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
| 1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
| 1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
| 1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
| 1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
| 1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| Find all providers in zip 89129 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 1356979603 | Kim Dewayne Kemmerly | Dentist | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 |
| 1730714569 | Gulati Highlands Dentistry, PC | Dentist | 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 | 2020-03-12 |
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1831739150 | Vivi Baldwin | Dentist | 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 | 2020-01-15 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.