Eastern Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EASTERN FAMILY DENTISTRY LLC

Doing business as

Distinctive Smiles

Practice address

5300 S Eastern Ave # Site120
Las Vegas, NV 89119-2377

Phone

(702) 454-7621

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By 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. Zachary D Soard, DMDNPI 1194131011

Title

Owner

Phone

(702) 742-5824

Specialties & licenses 1

Addresses

Other names 1

• Distinctive Smiles Doing business as

Locations

Practitioners 1

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.

• Zachary Dan Soard, DMD

  • Dentist
  • North Las Vegas, NV
  • NPI 1194131011
  Authorized official Same address or phone

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1851173785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W CRAIG RD STE H",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320215",
            "telephone_number": "702-633-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S EASTERN AVE # SITE120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192377",
            "telephone_number": "702-454-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "SOARD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-742-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": "Distinctive Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easter Seals Southern Nevada
• Jonelle Easter
• Katrin Elizabeth Easter
• Veneta Easter
• Moana Lynn Easterly
• Eastern Hill Family Dental LLC (Eastern Hills Family Dental)
• Eastern Hills Dental LLC
• Eastern Podiatry LLC (Eastern Podiatry)
• Eastern Primary Care LLC
• Barbara Diane Easterwood, MFT, CAD, CTS

• 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 Oct 16, 2023; 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.