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KIDS' DENTAL SAFARI
NPI 1740684430
Dentist - Pediatric Dentistry in Las Vegas, NV

Active since October 09, 2014
2381B RENAISSANCE DR, LAS VEGAS, NV 89119(702) 373-9526 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kids' Dental Safari NPPES

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

KIDS' DENTAL SAFARI (NPI 1740684430) is a healthcare organization registered as a pediatric dentistry in Las Vegas, Nevada and active in the NPI registry since October 2014. The organization lists William Waggoner, President, as its authorized official.

NPPES Registry Identity

NPI1740684430
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWAGGONER & ASSOCIATES PC
Location Address2381B RENAISSANCE DRLas Vegas, NV 89119-6498
Mailing Address8981 W Sahara Ave, Suite 110Las Vegas, NV 89117-5897 · (702) 254-4220
Phone(702) 373-9526
Organization SubpartNo
Authorized OfficialWilliam WaggonerPresident · (702) 254-4220
Enumeration DateOctober 9, 2014
✔ NPI 1740684430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NV · S6-17
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2381B RENAISSANCE DR, Las Vegas, NV 89119
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Other Names 1

Doing Business AsKids' Dental Safari

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

Other Providers at the Same Location NPPES 2

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

WAGGONER AND ASSOCIATES, PC
Clinic/Center (Dental)
2381B RENAISSANCE DR
LAS VEGAS, NV 89119
Clark County (702) 786-6684
KDS SAFARI LLC
Dentist (Pediatric Dentistry)
2381B RENAISSANCE DR
LAS VEGAS, NV 89119
Clark County (702) 786-6684

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 Waggoner & Associates PC's NPI number?

The NPI number for Waggoner & Associates PC is 1740684430. It was assigned to this organization in the NPPES registry on October 9, 2014. The provider is doing business as Kids' Dental Safari.

Where is Waggoner & Associates PC located?

Waggoner & Associates PC is located at 2381B Renaissance Dr, Las Vegas, NV 89119. The listed phone number is (702) 373-9526.

What is Waggoner & Associates PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Waggoner & Associates PC was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.