Organization Active NPI

Dean, Anghesom and Lee, PLLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1013393784
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEAN, ANGHESOM AND LEE, PLLC
Doing business as
Summerlin Smiles
Practice address
9525 W Russell Rd
Ste 100
Las Vegas, NV 89148-5650
Phone
(702) 579-7645
Fax
(702) 579-7660
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lynn Lee
Title
Office Manager
Phone
(702) 579-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X NV Primary

Addresses

Primary practice location

9525 W Russell Rd
Ste 100
Las Vegas, NV 89148-5650

Mailing address

9525 W Russell Rd
Ste 100
Las Vegas, NV 89148-5650
Phone (702) 579-7645

Other names 1

  • Summerlin Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

9525 W Russell Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 579-7645

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1013393784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 W RUSSELL RD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485650",
            "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": "9525 W RUSSELL RD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485650",
            "telephone_number": "702-579-7645",
            "fax_number": "702-579-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN, ANGHESOM AND LEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-579-7645",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.