ALTA ORAL SURGERY, LLC
NPI 1821323205
Dentist - Oral and Maxillofacial Surgery in Las Vegas, NV

Active since October 02, 2009
526 S TONOPAH DR, #200, LAS VEGAS, NV 89106(702) 435-5015(702) 366-1483 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alta Oral Surgery, Llc NPPES

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

ALTA ORAL SURGERY, LLC (NPI 1821323205) is a healthcare organization registered as an oral and maxillofacial surgery in Las Vegas, Nevada and active in the NPI registry since October 2009. The organization lists Benny Kohanteb, Owner, as its authorized official.

NPPES Registry Identity

NPI1821323205
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameALTA ORAL SURGERY, LLC
Location Address526 S TONOPAH DR, #200Las Vegas, NV 89106-4043
Mailing Address526 S Tonopah Dr, #200Las Vegas, NV 89106-4043 · (702) 435-5015 · Fax (702) 366-1483
Fax(702) 366-1483
Organization SubpartNo
Authorized OfficialBenny KohantebOwner · (702) 435-5015
Enumeration DateOctober 2, 2009
NPI 1821323205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NV · 4509
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
526 S TONOPAH DR, Las Vegas, NV 89106

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Dentist (General Practice)
526 S TONOPAH DR, STE. 200
LAS VEGAS, NV 89106
Dentist
526 S TONOPAH DR, STE. 200
LAS VEGAS, NV 89106
Social Worker (School)
526 S TONOPAH DR
LAS VEGAS, NV 89106
Dentist (General Practice)
526 S TONOPAH DR, #200
LAS VEGAS, NV 89106
Dentist (General Practice)
526 S TONOPAH DR, #200
LAS VEGAS, NV 89106
Dentist (General Practice)
526 S TONOPAH DR, STE. 200
LAS VEGAS, NV 89106
Prosthetic/Orthotic Supplier
526 S TONOPAH DR, SUITE 120
LAS VEGAS, NV 89106
Dentist (General Practice)
526 S TONOPAH DR, #200
LAS VEGAS, NV 89106

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 Alta Oral Surgery, LLC's NPI number?

The NPI number for Alta Oral Surgery, LLC is 1821323205. It was assigned to this organization in the NPPES registry on October 2, 2009.

Where is Alta Oral Surgery, LLC located?

Alta Oral Surgery, LLC is located at 526 S Tonopah Dr #200, Las Vegas, NV 89106. The listed phone number is (702) 435-5015.

What is Alta Oral Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Alta Oral Surgery, LLC was last updated on October 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.