Absolute Dental-Bonanza Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4509 Issued in NV

Legal business name

ABSOLUTE DENTAL-BONANZA INC.

Practice address

556 N Eastern Ave
Suite 1
Las Vegas, NV 89101-3477

Phone

(702) 365-6800

Fax

(702) 366-9894

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By 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. Benny Kohanteb

Title

D.D.S.

Phone

(702) 365-6800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811084312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013477",
            "telephone_number": "702-365-6800",
            "fax_number": "702-366-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013477",
            "telephone_number": "702-365-6800",
            "fax_number": "702-366-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DENTAL-BONANZA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "702-365-6800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolute Dental Eastern, Inc
• Absolute Dental Farm Road LLC
• Absolute Dental M.P., LLC (Absolute Dental, M.P.)
• Absolute Dental Meadows, LLC
• Absolute Dental Nellis, LLC (Absolute Dental Nellis)
• Absolute Dental-Flamingo, LLP
• Absolute Dental-Rancho Inc
• Absolute Dental, Inc
• Absolute Foot Care Specialists, Inc
• Absolute Home Care Inc. (Absolute Home Car)

• 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 Aug 22, 2020; 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.