GLOSMAN DENTAL GROUP, LTD (NPI# 1164603502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164603502 |
| Entity Type | Organization |
| Organization Name | GLOSMAN DENTAL GROUP, LTD |
| Other Organization Name | DENTALVILLE |
| Practice Address |
5060 S Fort Apache Rd #160 Las Vegas NV 89148-1731 |
| Mailing Address |
833 W Whittier Blvd Montebello CA 90640-4735 |
| Practice Telephone | 7028518200 |
| Practice Fax Number | 7028518201 |
| Mailing Telephone | 3232661000 |
| Mailing Fax Number | 3233721662 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | MONIQUE R GLOSMAN (CHIEF OF STAFF) |
| Authorized Official Telephone | 3104802307 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | GLOSMAN DENTAL GROUP, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3580 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100512440 | 05 |
| Other Name | Type Code |
|---|---|
| Dentalville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790966133 | Glosman Dental Group, Ltd | Dentist | 7101 W Craig Rd, #102, Los Vegas, NV 89129-6059 | 2007-11-14 |
| 1073794418 | Glosman Dental Group, Ltd | Dentist | 1351 W Sunset Rd, #100, Henderson, NV 89014-8608 | 2007-11-14 |
| 1265613608 | Glosman Dental Group, Ltd | Dentist | 9210 S Eastern Ave, #130, Las Vegas, NV 89123-4834 | 2007-11-14 |
| 1528287232 | Glosman Dental Group, Ltd | Dentist | 9210 S. Eastern Ave #130, Las Vegas, NV 89123-4834 | 2007-04-24 |
| Street Address |
5060 S FORT APACHE RD #160 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144304312 | Franklin T Nguyen | Dentist | 5060 S Fort Apache Rd, Las Vegas, NV 89148-1716 | 2006-10-24 |
| 1780090381 | Optum Medical Services PC | Family Medicine | 5060 S Fort Apache Rd, Suite 150, Las Vegas, NV 89148-1716 | 2014-07-03 |
| 1932515640 | Optum Clinic Pa | Clinic/Center | 5060 S Fort Apache Rd, Suite 150, Las Vegas, NV 89148-1716 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1083227458 | Khurram Fahim | Dentist | 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 | 2020-08-26 |
| 1104437532 | Sean Truong | Dentist | 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 | 2020-08-10 |
| 1518585785 | Jaclyn Richardson | Dentist | 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 | 2020-07-14 |
| 1588283592 | Hyungbin Lee | Dentist | 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 | 2020-04-09 |
| 1205478732 | Gb Dental, LLC | Dentist | 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 | 2019-10-16 |
| 1851946313 | Dae D Hahm | Dentist | 10741 Dobbs Ave, Las Vegas, NV 89166-5112 | 2019-08-01 |
| 1891349239 | Greta De Fatima Barba | Dentist | 3375 E Tropicana Ave Ste F8, Las Vegas, NV 89121-7357 | 2019-07-24 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1386205045 | Alexis Grace Desilva | Dentist | 8275 S Eastern Ave Ste 101, Las Vegas, NV 89123-2543 | 2019-06-24 |
| Find all providers in LAS VEGAS | ||||
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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.