Absolute Dental Lake Mead, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4509T Issued in NV

Legal business name

ABSOLUTE DENTAL LAKE MEAD, LLP

Doing business as

Absolute Dental-Lake Mead

Practice address

2301 E Lake Mead Blvd
N Las Vegas, NV 89030-7137

Phone

(702) 649-9333

Fax

(702) 639-0579

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benny KohantebNPI 1386733848

Title

Owner

Phone

(702) 218-2713

Specialties & licenses 1

Addresses

Other names 1

• Absolute Dental-Lake Mead Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benny Kohanteb, DDS

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1386733848
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104912831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E LAKE MEAD BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307137",
            "telephone_number": "702-649-9333",
            "fax_number": "702-639-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E LAKE MEAD BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307137",
            "telephone_number": "702-649-9333",
            "fax_number": "702-639-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DENTAL LAKE MEAD, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-218-2713",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4509T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental-Lake Mead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Wise Choice Home Care LLC (A Wise Choice Home Care)
• Jelila Abdul-Bassit
• Abhinav Sinha MD, PC
• Ely Abril
• Absolute Dental Aliante, Inc.
• Ac Dionisio, MD Inc.
• Accurate Processing Services LLC (Aps LLC)
• Teresita De Jesus Acosta Medina
• Janet Acosta, RN
• Kamikia Adams

• General Practice Dentistry in N Las Vegas, NV
• Providers in N 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 Aug 22, 2020; 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.