GRIFFIN DAVIS PARK (NPI# 1427575307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427575307 |
| Entity Type | Individual |
| Full Name | GRIFFIN DAVIS PARK |
| Practice Address |
366 W. Lake Mead Pkwy St. 100 Henderson NV 89105 |
| Mailing Address |
366 W Lake Mead Pkwy Henderson NV 89015-7286 |
| Practice Telephone | (702) 464-3090 |
| Mailing Telephone | 7024643090 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6943 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE DENTAL LICENSE | 6943 | 01 |
| Street Address |
366 W. LAKE MEAD PKWY ST. 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268428 | Nevada Dental Specialists, LLC | Dentist | 526 S. Tonopah Dr., Suite 200, Las Vegas, NV 89105 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174528 | Next Step | Behavior Technician | 3000 High View Drive, #921, Henderson, NV 89014-3797 | 2020-11-06 |
| 1699376558 | Kody Brett Allard | Nurse Practitioner | 1681 Keepsake Ave, Henderson, NV 89014-7562 | 2020-11-05 |
| 1265033146 | Next Step | Behavior Technician | 3000 High View Dr Apt 611, Henderson, NV 89014-3796 | 2020-11-05 |
| 1205437381 | Activate Healthcare | Clinic/Center | 1301 W Sunset Rd, Henderson, NV 89014-6607 | 2020-11-04 |
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1639770043 | Pride Care Hospice Inc | Hospice Care, Community Based | 8975 S Pecos Rd Ste 7b-107, Henderson, NV 89074-7160 | 2020-11-03 |
| 1366043986 | Rhiannon Garcia | Dietitian, Registered | 2146 Fountain Springs Dr, Henderson, NV 89074-1576 | 2020-11-02 |
| 1013517655 | Misty R Wright-genous | Registered Nurse | 966 Derringer Ln, Henderson, NV 89014-2593 | 2020-10-30 |
| 1063012094 | Monika Elizabeth Briones | Behavior Technician | 1922 Spode Ave, Henderson, NV 89014-3794 | 2020-10-28 |
| 1962002964 | Andrew Justin Freeman | Psychologist | 1485 W Warm Springs Rd Ste 109, Henderson, NV 89014-7632 | 2020-10-28 |
| Find all providers in HENDERSON | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227383 | Steven Hadawar | Dentist | 3519 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4598 | 2020-08-26 |
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1508411232 | Luz Gizelle Jaramillo-lyoubi | Dentist | 1351 W Sunset Rd Ste 100, Henderson, NV 89014-8608 | 2019-08-08 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1588139026 | Roseman University of Health Sciences, A Nevada Non-profit Corp | Dentist | 4 Sunset Way Ste B, Henderson, NV 89014-2015 | 2018-10-11 |
| 1114408820 | Matthew Pineda Manas | Dentist | 2790 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-3997 | 2018-08-22 |
| 1285111617 | Jack Nguyen, Dds, Pllc | Dentist | 2654 W Horizon Ridge Pkwy Ste B5-346, Henderson, NV 89052-2803 | 2018-07-27 |
| 1013460872 | Robert Blackburn Jr. | Dentist | 211 Burning Tree Dr, Henderson, NC 27537-9607 | 2016-07-28 |
| 1407212624 | Toothfairy Children's Dental | Dentist | 10925 S Eastern Ave Ste 130, Henderson, NV 89052-5214 | 2016-01-04 |
| 1700261534 | Bianca Camille Velayo | Dentist | 2570 Wigwam Pkwy, Ste. 110, Henderson, NV 89074-6226 | 2015-07-22 |
| Find all providers in HENDERSON | ||||
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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.