WATANABE DIAMOND DENTAL GROUP, PROFESSIONAL CORPORATION


Address: 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139
Phone: 7024254424

WATANABE DIAMOND DENTAL GROUP, PROFESSIONAL CORPORATION (NPI# 1588842702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588842702
Entity Type Organization
Organization Name WATANABE DIAMOND DENTAL GROUP, PROFESSIONAL CORPORATION
Other Organization Name DIAMOND DENTAL GROUP
Practice Address 4380 Blue Diamond Road
Suite 102
Las Vegas
NV 89139
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Practice Telephone 7024254424
Practice Fax Number 7028754230
Mailing Telephone 7148458890
Mailing Fax Number 9494741495
Enumeration Date 2008-02-11
Last Update Date 2014-01-03
Authorized Official Name DR. LYNDA C WATANABE (OWNER DOCTOR)
Authorized Official Telephone 7024254424
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
DIAMOND DENTAL GROUP Doing Business As Name - Organization

Office Location

Street Address 4380 BLUE DIAMOND ROAD
SUITE 102
City LAS VEGAS
State NV
Zip Code 89139

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NPI Name Taxonomy Address Enumeration
1003440116 Cynrg Enterprises LLC Marriage & Family Therapist 6578 Creekside Cellars Court, Las Vegas, NV 89139 2020-02-27
1922542968 De Craig Ranch, LLC General Acute Care Hospital 4855 Blue Diamond Rd, Las Vegas, NV 89139 2016-12-09
1851847404 Sports LLC Physical Therapist 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 2016-09-01
1790134179 Jubert C Aranas LLC Dentist 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 2016-06-07
1245533207 Maryanne D. Phillips Md Apc Anesthesiology 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 2010-12-14
1093015612 Eboni Abah Behavioral Analyst 777 South Jones Ave, Las Vegas, NV 89139 2010-10-29
1669600896 Min Kyu Kim Dentist 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 2009-06-25
1790924587 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 3692 Blue Diamond Road, Las Vegas, NV 89139 2009-02-18
1487820973 Albertsons LLC Durable Medical Equipment & Medical Supplies 4800 Blue Diamond Rd, Las Vegas, NV 89139 2008-05-05
1710186937 Gerard Anthony Bozman Chiropractor 8050 Dean Martin, Las Vegas, NV 89139 2007-07-17
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851901755 Christian J. Otteson Dentist 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 2020-08-05
1811506082 Jorge Jimenez-marquez, Dmd, Pllc Dentist 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 2020-07-23
1235747643 Sean Patrick Fitzgibbons Dentist 6545 Ditmars St, Las Vegas, NV 89166-8026 2020-07-21
1467079806 Cristian Omar Sosa Dentist 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 2020-07-01
1538786421 Colette Laree Fuglaar Dentist 6974 Walden Park St, Las Vegas, NV 89166-8044 2020-06-26
1083233001 Flamingo Dental Partners LLC Dentist 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 2020-04-09
1356979603 Kim Dewayne Kemmerly Dentist 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 2020-03-31
1730714569 Gulati Highlands Dentistry, PC Dentist 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 2020-03-12
1598396236 Najand Dental, LLC Dentist 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 2020-01-31
1831739150 Vivi Baldwin Dentist 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 2020-01-15
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Competitor

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City LAS VEGAS
Zip Code 89139

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Dataset Information

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.

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