GREAT SMILE DENTAL PLLC (NPI# 1568071827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568071827 |
| Entity Type | Organization |
| Organization Name | GREAT SMILE DENTAL PLLC |
| Other Organization Name | GREAT SMILE DENTAL PLLC |
| Practice Address |
8445 W Flamingo Rd Las Vegas NV 89147-4166 |
| Mailing Address |
720 Osterman Ave Ste 304 Deerfield IL 60015-4339 |
| Practice Telephone | 7023090909 |
| Practice Fax Number | 7252287025 |
| Mailing Telephone | 8479451050 |
| Mailing Fax Number | 8479400433 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | JACQUELINE MORALES (DISTRICT MANAGER) |
| Authorized Official Telephone | 8479451050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Great Smile Dental Las Vegas | Doing Business As Name - Organization |
| Great Smile Dental PLLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2660 Windmill Pkwy, Henderson, NV 890743385 | 7023090906 | 7252150038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1043825078 | Great Smile Dental Pllc | Clinic/Center | 2660 Windmill Pkwy, Henderson, NV 89074-3385 | 2020-09-15 |
| Street Address |
8445 W FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821186164 | Tanta Stere | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2006-10-11 |
| 1720440589 | Yadiel Kinfu | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2016-03-22 |
| 1184994337 | Coast Dental of Nevada Inc. | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147 | 2012-01-05 |
| 1528291945 | Matthew Joseph Wilson | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2009-09-02 |
| 1689803132 | Carmen Monique Brawley | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2009-07-06 |
| 1447450218 | Douglas Paul Sanchez | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2007-07-20 |
| 1679647846 | Sue & Associates, PC | Dentist | 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038257 | First Person Care Clinic | Dentist | 1200 S 4th St Ste 109, Las Vegas, NV 89104-1046 | 2016-04-20 |
| 1972743458 | Michael Alan Miyasaki | Dentist | 2095 Village Center Circle, Suite 110, Las Vegas, NV 89134 | 2009-02-24 |
| 1861012338 | Valudental Decatur Lee Pllc | Dentist | 4880 W Flamingo Rd, Las Vegas, NV 89103-3704 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318992 | Kelly Family Dental, PC | Dentist | 1820 S Arlington Ave, Reno, NV 89509-3309 | 2019-04-19 |
| 1437211455 | Ramin Homanfar | Dentist | 5420 Kietzke Ln Ste 201, Reno, NV 89511-2062 | 2006-12-15 |
| 1639730385 | Daniel Shalev, Dds, Ltd | Dentist | 2510 Wigwam Pkwy Ste 200, Henderson, NV 89074-7116 | 2019-06-24 |
| 1811282403 | Robert Lloyd Hill | Dentist | 1055 S Wells Ave, Reno, NV 89502-2550 | 2011-06-13 |
| 1225168735 | Nicholas J Bunk | Dentist | 705 Highway 446, Nixon, NV 89424 | 2007-03-06 |
| 1306981659 | Tara Lynn Vanorden | Dentist | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-21 |
| 1275677932 | Marlon Antonio Brown | Dentist | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-16 |
| 1376606608 | David Lawrence Brizzee | Dentist | 515 Shoshone Cir, Elko, NV 89801-5072 | 2006-12-18 |
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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.