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SUMMERLIN SMILES
NPI 1003073180
Dentist - General Practice in Las Vegas, NV

Active since May 17, 2008
4245 S GRAND CANYON DR, STE 108, LAS VEGAS, NV 89147(702) 579-7645(702) 579-7660 Get Directions Write a Review

NPPES record last updated: May 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summerlin Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMERLIN SMILES (NPI 1003073180) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since May 2008. The organization lists Ton Vinh Lee, President, as its authorized official.

NPPES Registry Identity

NPI1003073180
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUMMERLIN SMILES
Location Address4245 S GRAND CANYON DR, STE 108Las Vegas, NV 89147-7161
Mailing Address4245 S Grand Canyon Dr, Ste 108Las Vegas, NV 89147-7161 · (702) 579-7645 · Fax (702) 579-7660
Phone(702) 579-7645
Fax(702) 579-7660
Organization SubpartNo
Authorized OfficialTon Vinh LeePresident · (702) 579-7645
Enumeration DateMay 17, 2008
✔ NPI 1003073180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 4344
Definition
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.
4245 S GRAND CANYON DR, Las Vegas, NV 89147
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DATONYA WADE
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
ANIKA VIGIL-FLEMING
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
NOAH CORONADO
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
EVONNE RANDALL
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
LORIANN PETZEL
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
JAMIE PONNELL
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
ILLYANNA SHEVCHENKO
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741
KEITH TARKINGTON
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Clark County (725) 745-3741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summerlin Smiles's NPI number?

The NPI number for Summerlin Smiles is 1003073180. It was assigned to this organization in the NPPES registry on May 17, 2008.

Where is Summerlin Smiles located?

Summerlin Smiles is located at 4245 S Grand Canyon Dr Ste 108, Las Vegas, NV 89147. The listed phone number is (702) 579-7645.

What is Summerlin Smiles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Summerlin Smiles was last updated on May 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.