Enhanced Cosmetic and Implant Dentistry

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

ENHANCED COSMETIC AND IMPLANT DENTISTRY

Practice address

340 E Warm Springs Rd Ste 100
Las Vegas, NV 89119-4283

Phone

(725) 765-9500

Fax

(702) 541-9849

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Gardel

Title

Insurance Manager

Phone

(702) 224-2762

Specialties & licenses 1

Addresses

Other names 1

• Enhanced Cosmetic and Implant Dentistry Doing business as

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1942929898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 E FLAMINGO RD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215202",
            "telephone_number": "702-224-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194283",
            "telephone_number": "725-765-9500",
            "fax_number": "702-541-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED COSMETIC AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GARDEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "702-224-2762"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhanced Cosmetic and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josefine Engo
• Clairissa Ann Engstrom
• Harold George Engstrom
• Oranuj Engtrakul
• Enhance Dental
• Enigma LLC
• Christian Enix-Banks
• Enki Medical Center LLC
• Timothy Enlers
• Enlightened Healing & Wellness

• Public Health Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Public Health Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.