CANYON DENTAL IMPLANT CENTER LLC


Address: 3635 S Town Center Dr, Las Vegas, NV 89135-3017
Phone: 7026605576

CANYON DENTAL IMPLANT CENTER LLC (NPI# 1073052072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073052072
Entity Type Organization
Organization Name CANYON DENTAL IMPLANT CENTER LLC
Other Organization Name CANYON DENTAL IMPLANTS & DENTURES
Practice Address 3635 S Town Center Dr
Las Vegas
NV 89135-3017
Mailing Address 6200 N Durango Dr Ste 100
Las Vegas
NV 89149-3916
Practice Telephone 7026605576
Practice Fax Number 7026605590
Mailing Telephone 7026605574
Enumeration Date 2017-02-23
Last Update Date 2017-02-23
Authorized Official Name DR. JESSE FALK (MEMBER)
Authorized Official Telephone 7026605574
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Canyon Dental Implants & Dentures Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396284386 Canyon Dental Implant Center LLC Clinic/Center 6200 N Durango Dr Ste 100, Las Vegas, NV 89149-3916 2017-02-23

Office Location

Street Address 3635 S TOWN CENTER DR
City LAS VEGAS
State NV
Zip Code 89135-3017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743083 Summerlin Medical Durable Medical Equipment & Medical Supplies 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 2020-02-28
1902363344 Arle Troy Ceniza Jumalon Physical Therapist 10401 West Charleston Blvd, Las Vegas, NV 89135 2019-02-21
1952887473 Randon Ralph Pharmacist 10250 W.charleston Blvd, Las Vegas, NV 89135 2018-07-17
1528463981 Century Vision Center, Chtd. Optometrist 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 2014-10-28
1669808390 Nourollah Ghahreman Internal Medicine 3291 Mission Creek Court, Las Vegas, NV 89135 2013-09-26
1033485560 Jessica L Benesh Speech-Language Pathologist 11053 Crystal Crest Court, Las Vegas, NV 89135 2012-03-29
1053696237 Jaclyn Latteri Pharmacist 5442 Nettle Way, Las Vegas, NV 89135 2011-10-19
1235384033 Nancee Larson Registered Nurse 3418 Antique Rose Drive, Lasvegas, NV 89135 2008-11-20
1528250966 Manish P Gupta Internal Medicine 66 Hawkridge Drive, Las Vegas, NV 89135 2007-08-09
1205036134 Albertsons LLC Durable Medical Equipment & Medical Supplies 11720 W Charleston Blvd, Las Vegas, NV 89135 2007-07-19
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1225656945 Vanlue Orthodontics, PC Clinic/Center 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 2020-07-09
1164050365 Monica Ponce, Dds, A Professional Corporation Clinic/Center 9450 West Russell Road Suite 102, Las Vegas, NV 89148-8914 2020-04-01
1659903946 Suzan Fu Dds Ltd A Nevada Corp Clinic/Center 1958 Village Center Cir Ste 4, Las Vegas, NV 89134-6240 2020-02-05
1477183101 Ameritina Dental Eastern LLC Clinic/Center 581 N Eastern Ave, Las Vegas, NV 89101-3422 2020-01-22
1285285569 Gurpreet Khairah Dds Pllc Clinic/Center 2900 E Desert Inn Rd Ste 109, Las Vegas, NV 89121-3619 2019-09-26
1770131534 Robert C. Riegel, D.d.s Apc Clinic/Center 3663 E Sunset Rd Ste 507, Las Vegas, NV 89120-3299 2019-08-26
1376008193 Life Dentistry - Dr Duff, Pllc Clinic/Center 10670 Dean Martin Dr., Suite 100, Las Vegas, NV 89141 2019-02-06
1467928952 Ghazal Las Vegas Modern Smiles Dentistry, PC Clinic/Center 3119 N Rainbow Blvd, Las Vegas, NV 89108-4578 2018-10-23
1285123851 Herrera Family Dental, Pllc Clinic/Center 1300 S Lamb Blvd Ste 400, Las Vegas, NV 89104-5540 2018-05-09
1770072274 Sahara Dental Partners LLC Clinic/Center 4750 W Sahara Ave Ste 11, Las Vegas, NV 89102-3559 2018-05-09
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Competitor

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City LAS VEGAS
Zip Code 89135

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Dataset Information

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.

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