HENDERSON MODERN DENTISTRY (NPI# 1083098032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083098032 |
| Entity Type | Organization |
| Organization Name | HENDERSON MODERN DENTISTRY |
| Practice Address |
386 W Lake Mead Pkwy Suite 100 Henderson NV 89015-7417 |
| Mailing Address |
831 Coronado Center Dr #22205 Henderson NV 89052-3991 |
| Practice Telephone | 7024643090 |
| Mailing Telephone | 5163438731 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | DR. CODY MUGLESTON (OWNER DOCTOR) |
| Authorized Official Telephone | 7024643090 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6650 | NV | Dental Providers |
| Street Address |
386 W LAKE MEAD PKWY SUITE 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-7417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1821623059 | Yip Horizon Ridge Modern Dentistry, PC | Dentist | 10525 S Eastern Ave Ste 100, Henderson, NV 89052-3971 | 2020-03-09 |
| 1396392080 | Cheng Tang | Dentist | 2570 Wigwam Pkwy Unit 110, Henderson, NV 89074-6226 | 2019-08-19 |
| 1609437797 | Bradley Dinh Truong | Dentist | 725 S Green Valley Pkwy Ste 100, Henderson, NV 89052-0455 | 2019-06-27 |
| 1679054662 | Julianne Christine Doty | Dentist | 4301 E Sunset Rd Ste 100, Henderson, NV 89014-2238 | 2018-08-27 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1891282091 | Saloni Bhardwaj Luckoor | Dentist | 2570 Wigwam Pkwy Ste 110, Henderson, NV 89074-6225 | 2018-04-13 |
| 1033619812 | John Thomas Sears | Dentist | 900 Industrial Dr, Henderson, TX 75652-5000 | 2018-02-18 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on HENDERSON MODERN DENTISTRY.
| 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.