CHARLESTON SMILES DENTISTRY
NPI 1306338033
Dentist in Las Vegas, NV

Q: What is Lie Charleston Smiles Dentistry, PC's NPI number?

The NPI number for Lie Charleston Smiles Dentistry, PC is 1306338033. It was assigned to this organization in the NPPES registry on May 30, 2018. The provider is doing business as Charleston Smiles Dentistry.

Q: What is Lie Charleston Smiles Dentistry, PC's specialty?

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

Active since May 30, 2018

1150 S NELLIS BLVD STE 200, LAS VEGAS, NV 89104(714) 845-8500 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Charleston Smiles Dentistry NPPES

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

CHARLESTON SMILES DENTISTRY (NPI 1306338033) is a healthcare organization registered as a dentist in Las Vegas, Nevada and active in the NPI registry since May 2018. The organization lists Wanni Lie, Owner, as its authorized official.

NPPES Registry Identity

NPI1306338033

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLIE CHARLESTON SMILES DENTISTRY, PC

Location Address1150 S NELLIS BLVD STE 200Las Vegas, NV 89104-5700

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626

Phone(714) 845-8500

Organization SubpartNo

Authorized OfficialWanni LieOwner · (714) 845-8500

Enumeration DateMay 30, 2018

Last NPPES UpdateFebruary 27, 2019

✔ NPI 1306338033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

1150 S NELLIS BLVD STE 200, Las Vegas, NV 89104

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Other Names 1

Doing Business AsCharleston Smiles Dentistry

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 29D2264172

Charleston Smiles Dentistry · Las Vegas, NV

Expired · Jul 10, 2026

CLIA Number29D2264172

Laboratory TypePractitioner Other

Certificate Effective DateJuly 11, 2024

Certificate Expiration DateJuly 10, 2026

Laboratory DirectorDavid Hernandez

Laboratory Phone(702) 505-9159

Laboratory LocationCharleston Smiles Dentistry1150 S Nellis Blvd, Suite 200, Las Vegas, NV 89104

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JOANNA SHEN

Dentist

1150 S NELLIS BLVD STE 200
LAS VEGAS, NV 89104

Clark County (702) 505-9159

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 Lie Charleston Smiles Dentistry, PC's NPI number?

The NPI number for Lie Charleston Smiles Dentistry, PC is 1306338033. It was assigned to this organization in the NPPES registry on May 30, 2018. The provider is doing business as Charleston Smiles Dentistry.

Where is Lie Charleston Smiles Dentistry, PC located?

Lie Charleston Smiles Dentistry, PC is located at 1150 S Nellis Blvd Ste 200, Las Vegas, NV 89104. The listed phone number is (714) 845-8500.

What is Lie Charleston Smiles Dentistry, PC's specialty?

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

What insurance does Lie Charleston Smiles Dentistry, PC accept?

Health plans from Ambetter from Arizona Complete Health list Lie Charleston Smiles 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 Lie Charleston Smiles Dentistry, PC was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.