ABRAZA DENTAL GROUP LLC
NPI 1073963757
Dentist in Las Vegas, NV

Active since June 14, 2016
5642 S EASTERN AVE, SUITE B, LAS VEGAS, NV 89119(702) 456-0005 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Accepts Insurance

About ABRAZA DENTAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Abraza Dental Group Llc, a provider established in Las Vegas, Nevada operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1073963757 assigned on June 2016. The practitioner's primary taxonomy code is 122300000X with license number 6743 (NV). The provider is registered as an organization and their NPI record was last updated 10 years ago. Abraza Dental Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Wyatt Stott Dannels Dds (Dds)

NPI
1073963757 Verify this NPI
Provider Name
ABRAZA DENTAL GROUP LLC
Entity Type
Organization
Location Address
5642 S EASTERN AVE SUITE B LAS VEGAS, NV 89119
Location Phone
(702) 456-0005
Mailing Address
5642 S EASTERN AVE SUITE B LAS VEGAS, NV 89119
Mailing Phone
(702) 456-0005
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2016
Last Update Date
06-15-2016
Code Navigator

A dentist like Abraza Dental Group Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
6743
License State
NV
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WYATT STOTT DANNELS DDS

Authorized Official Title
DDS
Authorized Official Phone
(702) 456-0005

Reviews for ABRAZA DENTAL GROUP LLC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Chiropractor
5642 S EASTERN AVE, SUITE C
LAS VEGAS, NV 89119
Dentist (General Practice)
5642 S EASTERN AVE, #F
LAS VEGAS, NV 89119
Dentist
5642 S EASTERN AVE, STE B
LAS VEGAS, NV 89119
Dentist
5642 S EASTERN AVE
LAS VEGAS, NV 89119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073963757, enumerated as an "organization" on June 14, 2016.

The provider is located at 5642 S EASTERN AVE SUITE B LAS VEGAS, NV 89119 and the phone number is (702) 456-0005.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and. Please consult your insurance carrier or call the provider to verify.