Maricondia Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4092 Issued in NV

Legal business name

MARICONDIA DENTAL PC

Doing business as

AQ Dentures

Practice address

349 W Lake Mead Pkwy
Henderson, NV 89015

Phone

(702) 565-6000

Fax

(702) 565-0474

NPI assigned

Mar 17, 2014

Last updated

May 17, 2023By 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

Kimberly White

Title

Front Desk

Phone

(702) 565-6000

Specialties & licenses 1

Addresses

Other names 1

• AQ Dentures Doing business as

Locations

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.

• William Joseph Maricondia, DDS

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1336179787
  NPD

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1508282351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157029",
            "telephone_number": "702-565-6000",
            "fax_number": "702-565-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 W LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89015",
            "telephone_number": "702-565-6000",
            "fax_number": "702-565-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICONDIA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "702-565-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AQ Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giovanni Francesco Margaroli
• Gena S Margason
• Norman Marshall Margolis
• Maria Keller MD PC
• Lucy Mariconda
• William Joseph Maricondia, DDS
• Marilyn G. Maschgan LTD (Vegas Valley Hearing)
• Kyle Lyndon Maring, RPH
• Marisa C Medina MD PC
• Mark Bell MD PC (Henderson Anesthesia Partners)

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, 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 May 17, 2023; 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.