TOMLIN DENTAL GROUP, PC (NPI# 1265945638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265945638 |
Entity Type | Organization |
Organization Name | TOMLIN DENTAL GROUP, PC |
Other Organization Name | MOUNTAIN WEST DENTAL SPECIALISTS |
Practice Address |
6970 South Cimarron Road Suite 100 Las Vegas NV 89113 |
Practice Telephone | 7028993600 |
Enumeration Date | 2017-11-08 |
Last Update Date | 2017-11-08 |
Authorized Official Name | DR. KEATON MATTHEW TOMLIN (PEDIATRIC DENTIST) |
Authorized Official Telephone | 7024230518 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
S3-305 | NV | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-147 | NV | Dental Providers |
Other Name | Type Code |
---|---|
Mountain West Dental Specialists | Doing Business As Name - Organization |
Street Address |
6970 SOUTH CIMARRON ROAD SUITE 100 |
City | LAS VEGAS |
State | NV |
Zip Code | 89113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
Find all providers in zip 89113 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568089076 | Jens Wilson | Dentist | 101 Shadow Ln, Las Vegas, NV 89106-4301 | 2020-06-30 |
1942840723 | Bella Children's Dental Care LLC | Dentist | 560 N Nellis Blvd Ste E2, Las Vegas, NV 89110-5370 | 2020-01-09 |
1649760257 | Sorenson Pediatric Dentistry Pllc | Dentist | 5745 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5623 | 2018-05-18 |
1609377373 | H&b Pediatric Dentistry LLC | Dentist | 8520 Blue Diamond Rd Ste 130, Las Vegas, NV 89178-9297 | 2018-02-27 |
1528430790 | Absolute Dental & Orthodontics Prada, Pllc | Dentist | 8380 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-2175 | 2015-10-27 |
1083090864 | Chandler Hyer | Dentist | 712 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2015-08-04 |
1396125415 | Dawn Mcclellan, Dds, Ms, A Professional Corporation | Dentist | 3603 Las Vegas Blvd N Ste 120, Las Vegas, NV 89115-0591 | 2015-06-03 |
1942693403 | Lindsay Row | Dentist | 653 N Town Center Dr Ste 606, Las Vegas, NV 89144-0520 | 2015-03-09 |
1467842302 | Adventure Smiles | Dentist | 8995 W Flamingo Rd, Suite 100, Las Vegas, NV 89147-0441 | 2015-01-30 |
1740684430 | Waggoner & Associates PC | Dentist | 2381b Renaissance Dr, Las Vegas, NV 89119-6498 | 2014-10-09 |
Find all providers in LAS VEGAS |
Please comment or provide details below to improve the information on TOMLIN DENTAL GROUP, PC.
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.