ABSOLUTE DENTAL SP LLC (NPI# 1700059748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700059748 |
| Entity Type | Organization |
| Organization Name | ABSOLUTE DENTAL SP LLC |
| Other Organization Name | ABSOLUTE DENTAL- SPANISH SPRINGS |
| Practice Address |
5015 Pyramid Lakes Rd. Sparks NV 89436-7746 |
| Mailing Address |
5015 Pyramid Lake Rd Sparks NV 89436-7746 |
| Practice Telephone | 7024355015 |
| Practice Fax Number | 7023661483 |
| Mailing Telephone | 7024355015 |
| Mailing Fax Number | 7023661483 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | DR. BENNY B. KOHANTEB (OWNER) |
| Authorized Official Telephone | 7024355015 |
| 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 |
|---|---|
| Absolute Dental- Spanish Springs | Other Name - Individual/Organization |
| Street Address |
5015 PYRAMID LAKES RD. |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-7746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| 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 |
|---|---|---|---|---|
| 1386191005 | James Kang | Dentist | 475 Sparks Blvd Ste 101, Sparks, NV 89434-9002 | 2016-09-11 |
| 1518355395 | Kid Dental LLC | Dentist | 1301 N Mccarran Blvd Ste 104, Sparks, NV 89431-3870 | 2015-01-02 |
| 1508208547 | Ah Reum Park | Dentist | 5015 Pyramid Way, #113, Sparks, NV 89436-7746 | 2013-07-18 |
| 1083892863 | Marty Wayne Martin | Dentist | 5015 Pyramid Way Unit 113, Sparks, NV 89436-7728 | 2008-02-04 |
| 1801084678 | Charles Cordova Jr. | Dentist | 2399 Wingfield Hills Rd Ste 130, Sparks, NV 89436-7208 | 2007-10-05 |
| 1235329780 | Andrew Ryan Champagne | Dentist | 735 Sparks Blvd, Sparks, NV 89434-7930 | 2007-07-31 |
| 1073724951 | Bryan H. Peters | Dentist | 840 I St Ste 3, Sparks, NV 89431-3697 | 2007-05-24 |
| 1023222379 | Frank D Caffaratti | Dentist | 3160 N Truckee Ln, Sparks, NV 89434-1583 | 2007-05-09 |
| 1912125162 | Spanish Springs Family Dental | Dentist | 5050 Vista Blvd, Suite 107, Sparks, NV 89436-2844 | 2007-04-23 |
| 1508988940 | Jose F Talancon | Dentist | 630 Pyramid Way, Sparks, NV 89431-5059 | 2007-04-05 |
| Find all providers in SPARKS | ||||
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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.