SAHARA DENTAL PARTNERS LLC (NPI# 1770072274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770072274 |
| Entity Type | Organization |
| Organization Name | SAHARA DENTAL PARTNERS LLC |
| Other Organization Name | BOCA DENTAL AND BRACES |
| Practice Address |
4750 W Sahara Ave Ste 11 Las Vegas NV 89102-3559 |
| Mailing Address |
556 N Eastern Ave Ste I Las Vegas NV 89101-3453 |
| Practice Telephone | 7024560005 |
| Mailing Telephone | 7029604484 |
| Mailing Fax Number | 7029873040 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | WYATT DANNELS (OWNER) |
| Authorized Official Telephone | 7024560005 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6743 | NV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Boca Dental and Braces | Doing Business As Name - Organization |
| Street Address |
4750 W SAHARA AVE STE 11 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 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 |
| 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 |
| 1467928952 | Ghazal Las Vegas Modern Smiles Dentistry, PC | Clinic/Center | 3119 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2018-10-23 |
| 1285123851 | Herrera Family Dental, Pllc | Clinic/Center | 1300 S Lamb Blvd Ste 400, Las Vegas, NV 89104-5540 | 2018-05-09 |
| 1073052072 | Canyon Dental Implant Center LLC | Clinic/Center | 3635 S Town Center Dr, Las Vegas, NV 89135-3017 | 2017-02-23 |
| 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.