Center for Dental Aesthetics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTER FOR DENTAL AESTHETICS PLLC

Doing business as

Vegas Smile Suite

Practice address

7160 Rafael Rivera Way Ste 130
Las Vegas, NV 89113-5394

Phone

(702) 357-4111

Fax

(702) 924-4857

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Vicenta Reyes

Title

Credentialing Manager

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Vegas Smile Suite Doing business as

Locations

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1851019913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 RAFAEL RIVERA WAY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135394",
            "telephone_number": "702-357-4111",
            "fax_number": "702-924-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 RAFAEL RIVERA WAY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135394",
            "telephone_number": "702-357-4111",
            "fax_number": "702-924-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DENTAL AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Smile Suite",
            "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 Dec 20, 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.