Organization Active NPI

William O. Dahlke, Jr., DMD,PLLC

Doing business as Little Smiles

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1396085320
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-116 Issued in NV
Legal business name
WILLIAM O. DAHLKE, JR., DMD,PLLC
Doing business as
Little Smiles
Practice address
6169 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-3231
Phone
(702) 658-6700
Fax
(702) 450-6711
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. William Otto Dahlke Jr., DMD
Title
Manager
Phone
(702) 658-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X S6-116 NV Primary

Addresses

Primary practice location

6169 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-3231

Mailing address

6169 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-3231
Phone (702) 658-6700

Other names 1

  • Little Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1396085320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183231",
            "telephone_number": "702-658-6700",
            "fax_number": "702-450-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183231",
            "telephone_number": "702-658-6700",
            "fax_number": "702-450-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM O. DAHLKE, JR., DMD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "DAHLKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "OTTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-658-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little 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 Feb 28, 2013; 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.