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RADIANT SMILES NPI 1417408477


NPI Information

NPI: 1417408477
Provider Name: RADIANT SMILES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1825 S NELLIS BLVD
LAS VEGAS, NV
ZIP 89104
Phone: (702) 432-0199
Get Directions

RADIANT SMILES is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RADIANT SMILES NPI is 1417408477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1825 S NELLIS BLVD
LAS VEGAS, NV
ZIP 89104-215
Phone: (702) 432-0199

The provider's authorized official is Adrian Ruiz .
The authorized official title is Owner Dentist and has the following contact phone number (702) 432-0199.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice6837NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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