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KOOLSMILES DENTAL CORPORATION
NPI 1972170389
Dentist - General Practice in North Las Vegas, NV

Active since June 06, 2021
1975 W CRAIG RD STE 103, NORTH LAS VEGAS, NV 89032(702) 220-4266 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Koolsmiles Dental Corporation NPPES

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

KOOLSMILES DENTAL CORPORATION (NPI 1972170389) is a healthcare organization registered as a general practice in North Las Vegas, Nevada and active in the NPI registry since June 2021. The organization lists Derrick Pham, President, as its authorized official.

NPPES Registry Identity

NPI1972170389
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOOLSMILES DENTAL CORPORATION
Location Address1975 W CRAIG RD STE 103North Las Vegas, NV 89032-0332
Mailing Address5947 Azzura Palms AveLas Vegas, NV 89139-6968 · (714) 417-0246
Phone(702) 220-4266
Organization SubpartNo
Authorized OfficialDerrick PhamPresident · (714) 417-0246
Enumeration DateJune 6, 2021
NPPES CertifiedJune 6, 2021
✔ NPI 1972170389 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.
1975 W CRAIG RD STE 103, North Las Vegas, NV 89032
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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

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 Koolsmiles Dental Corporation's NPI number?

The NPI number for Koolsmiles Dental Corporation is 1972170389. It was assigned to this organization in the NPPES registry on June 6, 2021.

Where is Koolsmiles Dental Corporation located?

Koolsmiles Dental Corporation is located at 1975 W Craig Rd Ste 103, North Las Vegas, NV 89032. The listed phone number is (702) 220-4266.

What is Koolsmiles Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Koolsmiles Dental Corporation was last updated on June 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.