Sahara Dental Partners LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6743 Issued in NV

Legal business name

SAHARA DENTAL PARTNERS LLC

Doing business as

Boca Dental and Braces

Practice address

4750 W Sahara Ave Ste 11
Las Vegas, NV 89102-3559

Phone

(702) 456-0005

NPI assigned

May 9, 2018

Last updated

Jun 16, 2018By 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

Wyatt Dannels, DDS

Title

Owner

Phone

(702) 456-0005

Specialties & licenses 1

Addresses

Other names 1

• Boca Dental and Braces Doing business as

Locations

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1770072274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE STE I",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013453",
            "telephone_number": "702-960-4484",
            "fax_number": "702-987-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 W SAHARA AVE STE 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023559",
            "telephone_number": "702-456-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHARA DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DANNELS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-456-0005",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "6743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rayna M Sahagun
• Edita Sahakyan
• Izolda Sahakyan
• Syuzanna Sahakyan
• Chelsea Sahami, RN
• Sahara Dental Summerlin (Sahara Dental Professionals)
• Sahara Family Practice, PLLC
• Sahara Home Health
• Sahara Home Health
• Sahara Home Healthcare Inc (1Care Home Health Care)

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.