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MONTECITO TOWN CENTER DENTAL GROUP
NPI 1104954833
Dentist - General Practice in Las Vegas, NV

Active since March 02, 2007
7125 N DURANGO DR, LAS VEGAS, NV 89149(702) 658-2311(702) 658-8811 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montecito Town Center Dental Group NPPES

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

MONTECITO TOWN CENTER DENTAL GROUP (NPI 1104954833) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since March 2007. The organization lists Lynda Watanabe, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1104954833
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWATANABE TOWN CENTER DENTAL GROUP, PROFESSIONAL CORPORATION
Location Address7125 N DURANGO DRLas Vegas, NV 89149-4466
Mailing Address2860 Michelle Drive, 2nd FloorIrvine, CA 92606-1009 · (714) 845-8890 · Fax (949) 474-1495
Phone(702) 658-2311
Fax(702) 658-8811
Organization SubpartNo
Authorized OfficialLynda WatanabeOwner Doctor · (702) 658-2311
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 2, 2013
✔ NPI 1104954833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
7125 N DURANGO DR, Las Vegas, NV 89149
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Other Names 1

Doing Business AsMontecito Town Center Dental Group

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2264117

Montecito Town Center Dental Group · Las Vegas, NV
Expired · Jul 10, 2026
CLIA Number29D2264117
Laboratory TypePractitioner Other
Certificate Effective DateJuly 11, 2024
Certificate Expiration DateJuly 10, 2026
Laboratory DirectorCari Callaway-Nelson
Laboratory Phone(702) 658-2311
Laboratory LocationMontecito Town Center Dental Group7125 N Durango Drive, Las Vegas, NV 89149
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

DR. RAHI SHAH DDS
Dentist (General Practice)
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
DR. CHRISTOPHER TANG DDS
Dentist
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
DR. JUSTINA MARIE HERNANDEZ DMD
Dentist
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
DR. ALISSARA GENA NIMSUWAN DMD
Dentist (General Practice)
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
LINA ALBANDER
Dentist
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
DESTINY NWAUGBALA DDS
Dentist (General Practice)
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
TAZEEN SHAZREH AHMED DMD
Dentist
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311
FAHAD ASHRAF DAR DMD
Dentist
7125 N DURANGO DR
LAS VEGAS, NV 89149
Clark County (702) 658-2311

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 Watanabe Town Center Dental Group, Professional Corporation's NPI number?

The NPI number for Watanabe Town Center Dental Group, Professional Corporation is 1104954833. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is doing business as Montecito Town Center Dental Group.

Where is Watanabe Town Center Dental Group, Professional Corporation located?

Watanabe Town Center Dental Group, Professional Corporation is located at 7125 N Durango Dr, Las Vegas, NV 89149. The listed phone number is (702) 658-2311.

What is Watanabe Town Center Dental Group, Professional Corporation's specialty?

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

What insurance does Watanabe Town Center Dental Group, Professional Corporation accept?

Health plans from Ambetter from Arizona Complete Health list Watanabe Town Center Dental Group, Professional Corporation 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 Watanabe Town Center Dental Group, Professional Corporation was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.