Ponce Tender Dental PD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3063 Issued in NV

Legal business name

PONCE TENDER DENTAL PD

Doing business as

Tender Dental

Practice address

5230 Boulder Highway
Suite 130
Las Vegas, NV 89122

Phone

(702) 436-6725

Fax

(702) 995-0116

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Monica Renee Ponce, DDS

Title

Owner

Phone

(702) 436-6725

Specialties & licenses 1

Addresses

Other names 1

• Tender Dental Doing business as

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1063675973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 BOULDER HIGHWAY",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89122",
            "telephone_number": "702-436-6725",
            "fax_number": "702-995-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 BOULDER HIGHWAY",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89122",
            "telephone_number": "702-436-6725",
            "fax_number": "702-995-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE TENDER DENTAL PD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-436-6725",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesseca Pompfilius
• Christian Pompoco, DO
• Yamile Ponce Bravo
• Monica Ponce Casillas
• Bernice Puache Ponce de Leon, DO
• Jessica Noemi Ponce-Ruelas
• Ashly Mavenda de Jesus Ponce
• Brianna Jazyln Ponce
• Carlos Manuel Ponce
• Crystal Ponce

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.