Organization Active NPI

Smile Dental, LLC

Doing business as Smile Dental

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1407877921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE DENTAL, LLC
Doing business as
Smile Dental
Practice address
6775 E Lake Mead Blvd
Suite B9
Las Vegas, NV 89156-1183
Phone
(702) 450-7971
Fax
(702) 898-3232
NPI assigned
Jul 21, 2006
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. Richard Allen Nguyen, DMD
Title
Manager
Phone
(702) 450-7971

Specialties & licenses 1

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

Addresses

Primary practice location

6775 E Lake Mead Blvd
Suite B9
Las Vegas, NV 89156-1183

Mailing address

6775 E Lake Mead Blvd
Suite B9
Las Vegas, NV 89156-1183
Phone (702) 450-7971

Other names 1

  • SMILE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

6775 E Lake Mead Blvd
Ste B9
Las Vegas, NV 89156
Phone (702) 450-7971

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407877921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 E LAKE MEAD BLVD",
            "address_2": "SUITE B9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891561183",
            "telephone_number": "702-450-7971",
            "fax_number": "702-898-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 E LAKE MEAD BLVD",
            "address_2": "SUITE B9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891561183",
            "telephone_number": "702-450-7971",
            "fax_number": "702-898-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-450-7971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE 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.