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SHAHRESTANI GRAND CANYON MODERN DENTISTRY, PC
NPI 1841048865
Dentist - General Practice in Las Vegas, NV

Active since May 07, 2024
9560 W SKYE CANYON PARK DR STE 100, LAS VEGAS, NV 89166(702) 800-5711 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shahrestani Grand Canyon Modern Dentistry, Pc NPPES

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

SHAHRESTANI GRAND CANYON MODERN DENTISTRY, PC (NPI 1841048865) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since May 2024. The organization lists Ali Shahrestani, Dmd, as its authorized official.

NPPES Registry Identity

NPI1841048865
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHAHRESTANI GRAND CANYON MODERN DENTISTRY, PC
Location Address9560 W SKYE CANYON PARK DR STE 100Las Vegas, NV 89166-6802
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500
Phone(702) 800-5711
Organization SubpartNo
Authorized OfficialAli ShahrestaniDmd · (714) 845-8500
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1841048865 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.
9560 W SKYE CANYON PARK DR STE 100, Las Vegas, NV 89166
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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, UnitedHealthcare.Insurance ›

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. DANIEL VIZCONDE DMD
Dentist (General Practice)
9560 W SKYE CANYON PARK DR STE 100
LAS VEGAS, NV 89166
Clark County (702) 800-5711

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 Shahrestani Grand Canyon Modern Dentistry, PC's NPI number?

The NPI number for Shahrestani Grand Canyon Modern Dentistry, PC is 1841048865. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Shahrestani Grand Canyon Modern Dentistry, PC located?

Shahrestani Grand Canyon Modern Dentistry, PC is located at 9560 W Skye Canyon Park Dr Ste 100, Las Vegas, NV 89166. The listed phone number is (702) 800-5711.

What is Shahrestani Grand Canyon 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 Shahrestani Grand Canyon Modern Dentistry, PC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Shahrestani Grand Canyon 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 Shahrestani Grand Canyon Modern Dentistry, PC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.