QUINN STEPHANIE DENTAL GROUP, PROFESSIONAL CORPORATION (NPI# 1376726885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376726885 |
| Entity Type | Organization |
| Organization Name | QUINN STEPHANIE DENTAL GROUP, PROFESSIONAL CORPORATION |
| Other Organization Name | STEPHANIE DENTAL GROUP |
| Practice Address |
175 N Stephanie St Ste 170 Henderson NV 89074-8829 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7029975958 |
| Practice Fax Number | 7025654878 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | DR. SOPHIA B QUINN (OWNER DOCTOR) |
| Authorized Official Telephone | 7029975958 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| STEPHANIE DENTAL GROUP | Doing Business As Name - Organization |
| Street Address |
175 N STEPHANIE ST STE 170 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548617954 | Saro Oknaian | Dentist | 175 N Stephanie St, Ste 170, Henderson, NV 89074-8995 | 2016-05-16 |
| 1770721110 | Van Tran | Optometrist | 175 N Stephanie St, Suite 130, Henderson, NV 89074-8995 | 2009-01-22 |
| 1386820421 | Custom Eyes, LLC | Eyewear Supplier (Equipment, not the service) | 175 N Stephanie St, Suite 130, Henderson, NV 89074-8829 | 2008-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 | ||||
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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.