Active NPI
P&G Smiles LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
National Provider Identifier
1689529380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- P&G SMILES LLC
- Practice address
- 2871 N Tenaya Way
Las Vegas, NV 89128-0452 - Phone
- (702) 341-8668
- Fax
- (702) 341-7044
- NPI assigned
- Feb 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prashanti Bollu, D.M.D., M.S., M.B.A.
- Title
- Owner/Doctor
- Phone
- (617) 849-0751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2871 N Tenaya Way
Las Vegas, NV 89128-0452
Mailing address
2871 N Tenaya Way
Las Vegas, NV 89128-0452
Phone (702) 341-8668
National Provider Directory
National Provider Directory- Tax ID family
- PG Orthodontics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Henderson, NV
- NPI 1508453648
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
- NPI 1962357665
Locations
2871 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-8668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
- NPI 1245454156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1689529380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2871 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280452",
"telephone_number": "702-341-8668",
"fax_number": "702-341-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2871 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280452",
"telephone_number": "702-341-8668",
"fax_number": "702-341-7044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P&G SMILES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"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": "OWNER/DOCTOR",
"authorized_official_telephone_number": "617-849-0751",
"authorized_official_credential": "D.M.D., M.S., M.B.A."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 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.