Organization Active NPI

George a Tanksley Jr DMD a Professinal Corporation

Doing business as Alliance Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1376609305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4619 Issued in NV
Legal business name
GEORGE A TANKSLEY JR DMD A PROFESSINAL CORPORATION
Doing business as
Alliance Dental
Practice address
4250 S Rainbow Blvd
Suite 1004
Las Vegas, NV 89103-3159
Phone
(702) 364-9700
Fax
(702) 364-9943
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Arthur Tanksley Jr., DMD
Title
Doctor Owner
Phone
(702) 364-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4619 NV Primary

Addresses

Primary practice location

4250 S Rainbow Blvd
Suite 1004
Las Vegas, NV 89103-3159

Mailing address

4250 S Rainbow Blvd
Suite 1004
Las Vegas, NV 89103-3159
Phone (702) 364-9700

Other names 1

  • Alliance Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4250 S Rainbow Blvd
Ste 1004
Las Vegas, NV 89103
Phone (702) 456-4600

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376609305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD",
            "address_2": "SUITE 1004",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033159",
            "telephone_number": "702-364-9700",
            "fax_number": "702-364-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S RAINBOW BLVD",
            "address_2": "SUITE 1004",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033159",
            "telephone_number": "702-364-9700",
            "fax_number": "702-364-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A TANKSLEY JR DMD A PROFESSINAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANKSLEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "702-364-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Dental",
            "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 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.