P&G Smiles LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

P&G SMILES LLC

Doing business as

P&G Orthodontics

Practice address

1450 W Horizon Ridge Pkwy Ste B308&309
Henderson, NV 89012-4477

Phone

(702) 703-0102

Fax

(702) 723-6773

NPI assigned

Dec 23, 2020

Last updated

Feb 27, 2026By 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. Prashanti Bollu, DMD, MS, MBANPI 1083849178

Title

Orthodontist

Phone

(617) 849-0751

Specialties & licenses 1

Addresses

Other names 1

• P&G Orthodontics Doing business as

Tax ID family

PG Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• P&G Smiles LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1689529380
  NPD tax ID
• P&G Smiles LLC

  dba P&G Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1962357665
  NPD tax ID

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.

• Prashanti Bollu, D.M.D., M.S., M.B.A.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
  • NPI 1083849178
  NPD (past) Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1508453648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W HORIZON RIDGE PKWY STE B308&309",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124477",
            "telephone_number": "702-703-0102",
            "fax_number": "702-723-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W HORIZON RIDGE PKWY STE B308&309",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124477",
            "telephone_number": "702-703-0102",
            "fax_number": "702-723-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&G SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "BOLLU",
        "authorized_official_first_name": "PRASHANTI",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "617-849-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P&G Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriel Ozaeta
• Cynthia Salupen Ozawa, APN
• Mikako Ozawa, M.S., MFT-I
• Ella Ozer
• Teresa Colleen Ozmun, R.PH., D.PH.
• P3 Dental - Welebir PC (Whitney Ranch Dental)
• Pac Chiropractic LLC
• Kristi Orgill Pace
• Marcus Pace, PA
• Tyrell Pace

• Orthodontics and Dentofacial Orthopedics Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.