Tom Godfrey DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TOM GODFREY DMD PLLC

Practice address

4818 W Lone Mountain Rd
Las Vegas, NV 89130-2239

Phone

(702) 655-9533

Fax

(702) 655-9565

NPI assigned

Dec 10, 2025

Organization subpart

No

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

Authorized official

Name

Betty Villasenor

Title

Manager

Phone

(702) 655-9533

Specialties & licenses 1

Addresses

Tax ID family

Lone Mountain Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tom Godfrey DMD PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1336800697
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Hansen Godfrey, DMD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1063844710
  NPD

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1982568432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-655-9533",
            "fax_number": "702-655-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-655-9533",
            "fax_number": "702-655-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM GODFREY DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-655-9533"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toloai Toloai Jr
• Sorahi Toloyan-Rahimi, MD
• Shardae Tolson
• Racquel Dyguazo Tolzmann, APRN
• Tom Godfrey DMD PLLC
• Ancy Tom, NP
• Christopher Jonathan Tom, OD
• Mageena Elisheva Tom, LMSW
• Margaret Mary Tom
• Woodstock Tom, DMD

• 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 10, 2025; 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.