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LUCKOOR QUEENSRIDGE MODERN DENTISTRY, PC
NPI 1154048304
Dentist - General Practice in Las Vegas, NV

Active since October 27, 2022
10040 ALTA DRIVE STE 100, LAS VEGAS, NV 89145(702) 425-3060(702) 425-3028 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luckoor Queensridge Modern Dentistry, Pc NPPES

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

LUCKOOR QUEENSRIDGE MODERN DENTISTRY, PC (NPI 1154048304), doing business as Queensridge Modern Dentistry And Orthodontics, is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since October 2022. The organization lists Saloni Luckoor, Owner, as its authorized official.

NPPES Registry Identity

NPI1154048304
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLUCKOOR QUEENSRIDGE MODERN DENTISTRY, PC
Location Address10040 ALTA DRIVE STE 100Las Vegas, NV 89145
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890
Phone(702) 425-3060
Fax(702) 425-3028
Organization SubpartNo
Authorized OfficialSaloni LuckoorOwner · (702) 425-3060
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1154048304 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.
10040 ALTA DRIVE STE 100, Las Vegas, NV 89145
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Other Names 1

Doing Business AsQueensridge Modern Dentistry And Orthodontics

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 ›

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 Luckoor Queensridge Modern Dentistry, PC's NPI number?

The NPI number for Luckoor Queensridge Modern Dentistry, PC is 1154048304. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is doing business as Queensridge Modern Dentistry and Orthodontics.

Where is Luckoor Queensridge Modern Dentistry, PC located?

Luckoor Queensridge Modern Dentistry, PC is located at 10040 Alta Drive Ste 100, Las Vegas, NV 89145. The listed phone number is (702) 425-3060.

What is Luckoor Queensridge Modern Dentistry, PC's specialty?

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

What insurance does Luckoor Queensridge Modern Dentistry, PC accept?

Health plans from Ambetter from Arizona Complete Health list Luckoor Queensridge Modern Dentistry, PC 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 Luckoor Queensridge Modern Dentistry, PC was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.