Sugar Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUGAR SMILES LLC

Practice address

5670 W Flamingo Rd Ste B
Las Vegas, NV 89103-2338

Phone

(702) 364-2373

NPI assigned

Aug 14, 2017

Last updated

Jul 21, 2022By 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

Amy TongsiriNPI 1760631295

Title

Owner

Phone

(702) 551-4514

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Amy Siripida Tongsiri, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1760631295
  NPD Authorized official
• Dominique Carreon Dela Cruz, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1154809598
  NPD
• Song Ha Nguyen

  • General Practice Dentistry
  • North Las Vegas, NV
  • NPI 1275201188
  NPD (past)
• Michael Joseph Wills, DMD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1932457702
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720504566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 W FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032338",
            "telephone_number": "702-364-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 W FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032338",
            "telephone_number": "702-364-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TONGSIRI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-551-4514"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1578697322",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1760631295",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Suero
• Richard Suess
• Jeffrey Nathan Suffoletta, D.M.D.
• Sufia Palluck DDS LTD. (Somerset Dental)
• Peter Sugameli
• Malita D Sugay
• Rosanne Meneses Sugay, M.D.
• Anthony Suggs
• Sandy Suggs
• Sherry Suggs

• 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 Jul 21, 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.