CIVIC CENTER DENTAL PARTNERS WRIGHT PLLC (NPI# 1356822498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356822498 |
| Entity Type | Organization |
| Organization Name | CIVIC CENTER DENTAL PARTNERS WRIGHT PLLC |
| Other Organization Name | RISAS DENTAL AND BRACES |
| Practice Address |
2500 E Lake Mead Blvd North Las Vegas NV 89030-6464 |
| Mailing Address |
3030 N Central Ave Ste 1500 Phoenix AZ 85012-2750 |
| Practice Telephone | 7023590847 |
| Mailing Telephone | 6024274066 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | JULIANA GONZALEZ - HELTZEL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6024274066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Risas Dental and Braces | Doing Business As Name - Organization |
| Street Address |
2500 E LAKE MEAD BLVD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-6464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| 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 |
|---|---|---|---|---|
| 1790303840 | Harrison Luu | Dentist | 4250 Simmons St Ste 100, North Las Vegas, NV 89032-0769 | 2020-07-06 |
| 1336629039 | Jonathan Minsoo Skelton | Dentist | 1820 E Craig Rd Ste 102, North Las Vegas, NV 89030-3321 | 2018-08-21 |
| 1730558859 | Lynda Alexi Torres | Dentist | 3896 N. Martin Luther King Blvd., North Las Vegas, NV 89032 | 2015-09-18 |
| 1720495872 | Steven Delisle Dds P.C. | Dentist | 4080 N Mlk Blvd Ste 101b, North Las Vegas, NV 89032-3217 | 2014-07-21 |
| 1831504612 | Amanda Campbell | Dentist | 4090 North M.l.k. Blvd, North Las Vegas, NV 89032 | 2014-06-30 |
| 1124431200 | Khalid R Jilani | Dentist | 2668 Las Vegas Blvd N Ste 101, North Las Vegas, NV 89030-5870 | 2014-06-06 |
| 1215353511 | Steven Delisle Dds PC | Dentist | 4090 N Martin L King Blvd, North Las Vegas, NV 89032-3218 | 2014-03-11 |
| 1336385301 | Absolute Dental Losee LLC | Dentist | 5892 Losee Rd, #135, North Las Vegas, NV 89081-6599 | 2008-12-22 |
| 1922257542 | Jeffrey W Henkes | Dentist | 1631 W Craig Rd, Suite 10, North Las Vegas, NV 89032-0227 | 2008-09-18 |
| 1093963852 | Phan Vo Nguyen PC | Dentist | 445 W. Craig Road, Suite 121-122, North Las Vegas, NV 89032 | 2008-09-05 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on CIVIC CENTER DENTAL PARTNERS WRIGHT PLLC.
| 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.