ERIC V. LAC DMD LTD (NPI# 1568604023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568604023 |
| Entity Type | Organization |
| Organization Name | ERIC V. LAC DMD LTD |
| Other Organization Name | SMILECITY HENDERSON |
| Practice Address |
40 N Valle Verde Dr Ste 140 Henderson NV 89074-1776 |
| Mailing Address |
192 Cliff Valley Dr Las Vegas NV 89148-2707 |
| Practice Telephone | 7026480011 |
| Practice Fax Number | 7023640011 |
| Mailing Telephone | 7026480011 |
| Mailing Fax Number | 7023640011 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | DR. ERIC V LAC (DENTIST) |
| Authorized Official Telephone | 7026480011 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4563 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100513109 | 05 |
| Other Name | Type Code |
|---|---|
| SmileCity Henderson | Doing Business As Name - Organization |
| Street Address |
40 N VALLE VERDE DR STE 140 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-1776 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1558891275 | Jessica H. Renaker, Dmd Pllc | Clinic/Center | 730 N Green St, Henderson, KY 42420-2951 | 2017-06-14 |
| 1245668870 | Boston Dental At Anthem LLC | Clinic/Center | 2870 Bicentennial Pkwy Ste 120, Henderson, NV 89044 | 2013-10-16 |
| 1063641769 | Anthem Hills Dental | Clinic/Center | 12231 S Eastern Ave Ste 110, Henderson, NV 89052-4415 | 2009-07-02 |
| 1083866503 | Christian A. Pham, Dmd, Ltd | Clinic/Center | 60 S. Stephanie St., Suite #100, Henderson, NV 89012 | 2008-10-15 |
| 1053529651 | Crestview Dental | Clinic/Center | 60 S. Stephanie St, Henderson, NV 89012 | 2007-05-18 |
| 1528276102 | Carepoint Dental | Clinic/Center | 130 N. Boulder Hwy Ste 100, Henderson, NV 89015 | 2007-05-18 |
| 1508995598 | Star Brite Dental, Hai Q. Xa D.m.d. Prof. Corp. | Clinic/Center | 560 Marks St Ste B, Henderson, NV 89014-8602 | 2007-03-05 |
| 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.