PEDAITRIC DENTAL ASSOCIATES NPI 1114183118

NPI Information

  • NPI: 1114183118
  • Provider Name: PEDAITRIC DENTAL ASSOCIATES
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: STAR SMILE CHILDREN DENTISTRY
  • Address: 7250 S DURANGO DR
    LAS VEGAS, NV
    ZIP 89113
  • Phone: (702) 270-3047

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NPI Details

PEDAITRIC DENTAL ASSOCIATES is a pediatric dentistry dentist in Las Vegas, NV. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDAITRIC DENTAL ASSOCIATES NPI is 1114183118. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Star Smile Children Dentistry.

The provider's business location address is:

7250 S DURANGO DR
LAS VEGAS, NV
ZIP 89113-241
Phone: (702) 270-3047
Fax: (702) 614-0548

The provider's authorized official is Timothy A Wilson .
The authorized official title is Owner and has the following contact phone number (702) 270-3047.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 7/30/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryNEVADAYes

What is NPI?

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This page was last updated on: 11/21/2025

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