Active NPI
Summerlin Smiles
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1003073180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4344
- Legal business name
- SUMMERLIN SMILES
- Practice address
- 4245 S Grand Canyon Dr
Ste 108
Las Vegas, NV 89147-7161 - Phone
- (702) 579-7645
- Fax
- (702) 579-7660
- NPI assigned
- May 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ton Vinh Lee, D.D.S.
- Title
- President
- Phone
- (702) 579-7645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4344 | NV | Primary |
Addresses
Primary practice location
4245 S Grand Canyon Dr
Ste 108
Las Vegas, NV 89147-7161
Mailing address
4245 S Grand Canyon Dr
Ste 108
Las Vegas, NV 89147-7161
Phone (702) 579-7645
National Provider Directory
National Provider DirectoryLocations
4245 S Grand Canyon Dr
Ste 108
Las Vegas, NV 89147
Phone (702) 579-7645
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Las Vegas, NV
- NPI 1073708343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210982400000",
"number": "1003073180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 S GRAND CANYON DR",
"address_2": "STE 108",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477161",
"telephone_number": "702-579-7645",
"fax_number": "702-579-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 S GRAND CANYON DR",
"address_2": "STE 108",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477161",
"telephone_number": "702-579-7645",
"fax_number": "702-579-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMERLIN SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-17",
"last_updated": "2008-05-17",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "TON",
"authorized_official_middle_name": "VINH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-579-7645",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.