ELEGANT SMILES
NPI 1962978601
Clinic/Center - Dental in Las Vegas, NV
Active since October 21, 2018
6910 S CIMARRON RD STE 200, LAS VEGAS, NV 89113(702) 805-4555(702) 500-0416 Get Directions Write a Review
About Elegant Smiles NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEGANT SMILES (NPI 1962978601) is a healthcare organization registered as a dental in Las Vegas, Nevada and active in the NPI registry since October 2018. The organization lists Phi Phan, Managing Member, as its authorized official.
NPPES Registry Identity
NPI1962978601
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELEGANT SMILES, LLC
Location Address6910 S CIMARRON RD STE 200Las Vegas, NV 89113-2135
Mailing Address6910 S Cimarron Rd Ste 200Las Vegas, NV 89113-2280 · (702) 805-4555 · Fax (702) 500-0416
Phone(702) 805-4555
Fax(702) 500-0416
Organization SubpartNo
Authorized OfficialPhi PhanManaging Member · (702) 805-4555
Enumeration DateOctober 21, 2018
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1962978601 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6910 S CIMARRON RD STE 200, Las Vegas, NV 89113
Other Names 1
Doing Business AsElegant Smiles
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962978601, enumerated as an "organization" on October 21, 2018.
The provider is located at 6910 S CIMARRON RD STE 200 LAS VEGAS, NV 89113 and the phone number is (702) 805-4555.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
