1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Dentist
  6. NPI Profile

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: August 09, 2026.

About Abraza Dental Group Llc NPPES

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

ABRAZA DENTAL GROUP LLC (NPI 1073963757) is a healthcare organization registered as a dentist in Las Vegas, Nevada and active in the NPI registry since June 2016. The organization lists Wyatt Stott Dannels, Dds, as its authorized official.

NPPES Registry Identity

NPI1073963757
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameABRAZA DENTAL GROUP LLC
Location Address5642 S EASTERN AVE, SUITE BLas Vegas, NV 89119-2375
Mailing Address5642 S Eastern Ave, Suite BLas Vegas, NV 89119-2375 · (702) 456-0005
Phone(702) 456-0005
Organization SubpartNo
Authorized OfficialWyatt Stott DannelsDds · (702) 456-0005
Enumeration DateJune 14, 2016
Last NPPES UpdateJune 15, 2016
✔ NPI 1073963757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NV · 6743
Definition
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.
5642 S EASTERN AVE, Las Vegas, NV 89119
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

ROBERT C RIEGEL DDS-MS A PROFESSIONAL CORPORATION
Dentist
5642 S EASTERN AVE, STE B
LAS VEGAS, NV 89119
Clark County (702) 436-6186
JOHN EDWARD STEPHENSON DDS
Dentist (General Practice)
5642 S EASTERN AVE, #F
LAS VEGAS, NV 89119
Clark County (702) 739-9999
SANA FAHIM DMD
Dentist
5642 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 984-3678
FIRST CHOICE CHIROPRACTIC LLC
Chiropractor
5642 S EASTERN AVE, SUITE C
LAS VEGAS, NV 89119
Clark County (702) 736-8535

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 Abraza Dental Group LLC's NPI number?

The NPI number for Abraza Dental Group LLC is 1073963757. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Abraza Dental Group LLC located?

Abraza Dental Group LLC is located at 5642 S Eastern Ave Suite B, Las Vegas, NV 89119. The listed phone number is (702) 456-0005.

What is Abraza Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Abraza Dental Group LLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Abraza Dental Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abraza Dental Group LLC was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.