NEVADA DENTAL SPECIALISTS, LLC (NPI# 1538496120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538496120 |
| Entity Type | Organization |
| Organization Name | NEVADA DENTAL SPECIALISTS, LLC |
| Other Organization Name | NEVADA DENTAL SPECIALISTS- O.S. |
| Practice Address |
6490 S Mccarran Blvd #17 Reno NV 89509-6165 |
| Mailing Address |
526 S Tonopah Dr Ste 200 Las Vegas NV 89106-4013 |
| Practice Telephone | 7757878900 |
| Practice Fax Number | 7758298901 |
| Mailing Telephone | 7024355015 |
| Mailing Fax Number | 7023661483 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | BENNY KOHANTEB (OWNER) |
| Authorized Official Telephone | 7024355015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Nevada Dental Specialists- O.S. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268428 | Nevada Dental Specialists, LLC | Dentist | 526 S. Tonopah Dr., Suite 200, Las Vegas, NV 89105 | 2006-10-12 |
| 1538495148 | Nevada Dental Specialists, LLC | Dentist | 971 Topsy Ln, #333, Carson City, NV 89705-8421 | 2009-11-02 |
| Street Address |
6490 S MCCARRAN BLVD #17 |
| City | RENO |
| State | NV |
| Zip Code | 89509-6165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806680 | Tara Leigh Lemay Finley | Acupuncturist | 6490 S Mccarran Blvd, Ste B16, Reno, NV 89509 | 2005-07-26 |
| 1831719475 | Kayley Phillips | Behavioral Analyst | 6490 S Mccarran Blvd, Reno, NV 89509-6165 | 2020-04-23 |
| 1770064271 | Diagnostic Pathology Medical Group Inc | Pathology | 6490 S Mccarran Blvd, Bldge E Ste 106, Reno, NV 89509 | 2018-08-23 |
| 1194100123 | Sierra Treasures Inc | In Home Supportive Care | 6490 S Mccarran Blvd, Suite C-19, Reno, NV 89509-6165 | 2015-07-20 |
| 1386026177 | Tiffany Sullivan | Specialist | 6490 S Mccarran Blvd, F52, Reno, NV 89509-6165 | 2015-06-29 |
| 1215275888 | Christopher C Hock | Dentist | 6490 S Mccarran Blvd, Suite A9, Reno, NV 89509-6165 | 2013-01-16 |
| 1427321769 | Custom Carbon Composite Creations | Prosthetic/Orthotic Supplier | 6490 S Mccarran Blvd, Suite D-38, Reno, NV 89509-6165 | 2012-02-16 |
| 1548537327 | Justin H Foster | Orthotist | 6490 S Mccarran Blvd, Suite D38, Reno, NV 89509-6165 | 2011-11-22 |
| 1649582107 | Richard Joseph Mcguffin Jr. | Marriage & Family Therapist | 6490 S Mccarran Blvd, Bldg. D-2, Suite 28, Reno, NV 89509-6165 | 2010-07-12 |
| 1619291200 | Lucy J Shafner | Massage Therapist | 6490 S Mccarran Blvd, Suite B-15, Reno, NV 89509-6165 | 2010-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066904 | Falke Oral & Facial Surgery, LLC | Dentist | 475 Somersett Pkwy Ste B, Reno, NV 89523-4924 | 2020-05-29 |
| 1750637096 | Reno Oral & Maxillofacial Surgery | Dentist | 5420 Kietzke Ln Ste 102, Reno, NV 89511-2063 | 2012-07-24 |
| 1780887984 | Perry B. Young | Dentist | 601 W Moana Ln Ste 5, Reno, NV 89509-4959 | 2007-06-06 |
| 1881747434 | Daniel Frederick Muff | Dentist | 609 Sierra Rose Dr, Suite 1, Reno, NV 89511-2060 | 2007-01-18 |
| 1568431948 | Gary Ferris | Dentist | 290 Brinkby Ave, Reno, NV 89509-4326 | 2006-03-16 |
| 1831186956 | Thomas P Myatt | Dentist | 757 W 7th St, 102, Reno, NV 89503-3604 | 2005-10-04 |
| 1821623125 | Joelle Toft | Dentist | 290 Brinkby Ave, Reno, NV 89509-4348 | 2020-03-06 |
| 1871152884 | Dr. Galea Northern Nevada Oral and Maxillofacial Surgery, Pllc | Dentist | 290 Brinkby Ave, Reno, NV 89509-4348 | 2019-06-12 |
| 1477922946 | Aaron U. Adamson, Dmd, Ltd | Dentist | 290 Brinkby Ave, Suite 1, Reno, NV 89509-4348 | 2015-09-15 |
| 1215275888 | Christopher C Hock | Dentist | 6490 S Mccarran Blvd, Suite A9, Reno, NV 89509-6165 | 2013-01-16 |
| Find all providers in RENO | ||||
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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.