Crestview Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRESTVIEW DENTAL

Practice address

60 S. Stephanie St
Henderson, NV 89012

Phone

(702) 558-5788

Fax

(702) 558-7388

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tony Ching Kou Lee, D.M.D

Title

President

Phone

(702) 257-6767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053529651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S. STEPHANIE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-558-5788",
            "fax_number": "702-558-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S. STEPHANIE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-558-5788",
            "fax_number": "702-558-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "CHING KOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-257-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.