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TENDER DENTAL BONANAZA, LLC
NPI 1124556741
Dentist - General Practice in Las Vegas, NV

Active since May 25, 2017
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110(860) 325-0022 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tender Dental Bonanaza, Llc NPPES

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

TENDER DENTAL BONANAZA, LLC (NPI 1124556741) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since May 2017. The organization lists Jong Um, President, as its authorized official.

NPPES Registry Identity

NPI1124556741
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTENDER DENTAL BONANAZA, LLC
Location Address5001 E BONANZA RD STE 160Las Vegas, NV 89110-3560
Mailing Address301 Commons Park S Unit 618Stamford, CT 06902-7088 · (860) 491-6972
Phone(860) 325-0022
Organization SubpartYesParent: Tender Dental Management, Llc
Authorized OfficialJong UmPresident · (860) 325-0022
Enumeration DateMay 25, 2017
✔ NPI 1124556741 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 · 6883
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.
5001 E BONANZA RD STE 160, Las Vegas, NV 89110
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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 ›

Other Providers at the Same Location NPPES 6

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

TENDER DENTAL MANAGEMENT, LLC
Dentist (General Practice)
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
Clark County (860) 325-0022
ROBERT C SCHALLER JR. DDS
Dentist (General Practice)
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
Clark County (702) 307-2273
DR. MICHAEL LAWRENCE SHERMAN DDS
Dentist
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
Clark County (702) 307-2273
DR. DEAUDRE LYNDELL LECATO DMD,MBA
Dentist
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
Clark County (702) 996-8347
TENDER DENTAL BONANZA, LLC
Dentist (General Practice)
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
Clark County (702) 307-2273
ADA NEVADA DENTAL LLC
Dentist
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
Clark County (702) 307-2273

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 Tender Dental Bonanaza, LLC's NPI number?

The NPI number for Tender Dental Bonanaza, LLC is 1124556741. It was assigned to this organization in the NPPES registry on May 25, 2017.

Where is Tender Dental Bonanaza, LLC located?

Tender Dental Bonanaza, LLC is located at 5001 E Bonanza Rd Ste 160, Las Vegas, NV 89110. The listed phone number is (860) 325-0022.

What is Tender Dental Bonanaza, LLC's specialty?

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

What insurance does Tender Dental Bonanaza, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Tender Dental Bonanaza, 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 Tender Dental Bonanaza, LLC was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.