WAGGONER-GALEA PC (NPI# 1104055037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104055037 |
| Entity Type | Organization |
| Organization Name | WAGGONER-GALEA PC |
| Other Organization Name | PEDIATRIC DENTAL CARE ASSOCIATES AT ALIANTE PARKWAY |
| Practice Address |
6365 Simmons St #100 N Las Vegas NV 89031-7292 |
| Practice Telephone | 7028537322 |
| Mailing Telephone | 7028537322 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |
| Authorized Official Name | DR. WILLIAM FRANKLIN WAGGONER (OWNER, PRESIDENT) |
| Authorized Official Telephone | 7028537322 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatric Dental Care Associates at Aliante Parkway | Doing Business As Name - Organization |
| Street Address |
6365 SIMMONS ST #100 |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89031-7292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099584 | Anthony Q. Ngo, Dmd, Prossional Corporation | Clinic/Center | 1975 W Craig Rd Ste 103, N Las Vegas, NV 89032-0332 | 2020-09-25 |
| 1306002720 | Enchanting LLC | Clinic/Center | 3880 W Lake Mead Blvd Ste 100, N Las Vegas, NV 89032 | 2008-08-05 |
| 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 |
| 1881219699 | Zachary Dan Soard Dmd Ltf | Clinic/Center | 1306 W Craig Rd Ste H, North Las Vegas, NV 89032-0215 | 2020-06-08 |
| 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 |
| 1578195988 | Munaweera Dentistry PC | Clinic/Center | 500 Damonte Ranch Pkwy Ste 909, Reno, NV 89521-5911 | 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 |
| Find all providers with the same taxonomy | ||||
| City | N LAS VEGAS |
| Zip Code | 89031 |
Please comment or provide details below to improve the information on WAGGONER-GALEA PC.
| 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.