Organization Active NPI

George a. Davis, Jr. DDS LTD

Doing business as The Dentist of Summerlin

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1972038123
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3205 Issued in NV
Legal business name
GEORGE A. DAVIS, JR. DDS LTD
Doing business as
The Dentist of Summerlin
Practice address
1930 Village Center Cir
Suite 12
Las Vegas, NV 89134-6299
Phone
(702) 562-2322
Fax
(702) 562-9610
NPI assigned
Apr 25, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. George A Davis Jr., DDSNPI 1376765008
Title
Owner
Phone
(702) 562-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3205 NV Primary

Addresses

Primary practice location

1930 Village Center Cir
Suite 12
Las Vegas, NV 89134-6299

Mailing address

1930 Village Center Cir
Suite 12
Las Vegas, NV 89134-6299
Phone (702) 562-2322

Other names 1

  • The Dentist of Summerlin Doing business as

National Provider Directory

National Provider Directory

Locations

1930 Village Center Cir
Ste 12
Las Vegas, NV 89134
Phone (702) 562-2322

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1972038123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR",
            "address_2": "SUITE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-562-2322",
            "fax_number": "702-562-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR",
            "address_2": "SUITE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-562-2322",
            "fax_number": "702-562-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. DAVIS, JR. DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-562-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentist of Summerlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.