Tender Dental Bonanza, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TENDER DENTAL BONANZA, LLC

Doing business as

Silver Mountain Dental

Practice address

5001 E Bonanza Rd Ste 160
Las Vegas, NV 89110-3560

Phone

(702) 307-2273

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lawrence ShermanNPI 1245323559

Title

Clinical Director

Phone

(631) 806-1275

Specialties & licenses 1

Addresses

Other names 1

• Silver Mountain Dental 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.

• Michael Lawrence Sherman, DDS

  • Dentist
  • Las Vegas, NV
  • NPI 1245323559
  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1679227839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 E BONANZA RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103560",
            "telephone_number": "702-307-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E BONANZA RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103560",
            "telephone_number": "702-307-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER DENTAL BONANZA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-806-1275",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, 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 Feb 7, 2022; 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.