CRESTVIEW DENTAL (NPI# 1053529651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053529651 |
| Entity Type | Organization |
| Organization Name | CRESTVIEW DENTAL |
| Practice Address |
60 S. Stephanie St Henderson NV 89012 |
| Practice Telephone | 7025585788 |
| Practice Fax Number | 7025587388 |
| Mailing Telephone | 7025585788 |
| Mailing Fax Number | 7025587388 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. TONY CHING KOU LEE (PRESIDENT) |
| Authorized Official Telephone | 7022576767 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
========= | NV | Ambulatory Health Care Facilities |
| Street Address |
60 S. STEPHANIE ST |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143745 | Smile Dental | Clinic/Center | 1720 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89012-4896 | 2020-08-08 |
| 1619585353 | Green Valley Dentistry | Clinic/Center | 11 S Stephanie St Ste 100, Henderson, NV 89012-6034 | 2020-07-20 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1558891275 | Jessica H. Renaker, Dmd Pllc | Clinic/Center | 730 N Green St, Henderson, KY 42420-2951 | 2017-06-14 |
| 1245668870 | Boston Dental At Anthem LLC | Clinic/Center | 2870 Bicentennial Pkwy Ste 120, Henderson, NV 89044 | 2013-10-16 |
| 1063641769 | Anthem Hills Dental | Clinic/Center | 12231 S Eastern Ave Ste 110, Henderson, NV 89052-4415 | 2009-07-02 |
| 1568604023 | Eric V. Lac Dmd Ltd | Clinic/Center | 40 N Valle Verde Dr, Ste 140, Henderson, NV 89074-1776 | 2009-03-30 |
| 1083866503 | Christian A. Pham, Dmd, Ltd | Clinic/Center | 60 S. Stephanie St., Suite #100, Henderson, NV 89012 | 2008-10-15 |
| 1528276102 | Carepoint Dental | Clinic/Center | 130 N. Boulder Hwy Ste 100, Henderson, NV 89015 | 2007-05-18 |
| 1508995598 | Star Brite Dental, Hai Q. Xa D.m.d. Prof. Corp. | Clinic/Center | 560 Marks St Ste B, Henderson, NV 89014-8602 | 2007-03-05 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.