Star Smiles Childrens Dentistry in North Las Vegas - Dentist
Star Smiles Childrens Dentistry - NPI 1518097153
Star Smiles Childrens Dentistry is a Dentist in North Las Vegas, Nevada. Star Smiles Childrens Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Star Smiles Childrens Dentistry is 1518097153. The last update date is 2012-04-04.
Star Smiles Childrens Dentistry's current location address is 4040 North Martin Luther King Blvd., North Las Vegas, Nevada. You can contact this provider via phone number 7026393515 and fax number 7026393516. The mailing address for Star Smiles Childrens Dentistry is 4040 North Martin Luther King Blvd., North Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Star Smiles Childrens Dentistry |
|---|---|
| Address | 4040 North Martin Luther King Blvd., North Las Vegas, Nevada |
| Phone Number | 7026393515 |
| Fax Number | 7026393516 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Wilson A Timothy |
| Credentials | DDS |
| Telephone Number | 7026393515 |
NPI Number Detail
| NPI Number | 1518097153 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | 4040 North Martin Luther King Blvd. |
|---|---|
| City | North Las Vegas |
| State | Nevada (NV) |
| Post Code | 890326330 |
| Phone Number | 7026393515 |
| Fax Number | 7026393516 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4522T |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100506669 | NV | -- | |
| 100502976 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Star Smiles Childrens Dentistry by the Centers for Medicare & Medicaid Services?
The Star Smiles Childrens Dentistry has been assigned the NPI (National Provider Identifier) 1518097153 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Star Smiles Childrens Dentistry?
The Star Smiles Childrens Dentistry is situated at 4040 North Martin Luther King Blvd., in the city of North Las Vegas, state of NV, with the zip code 890326330.
What is the Star Smiles Childrens Dentistry's area of specialization and corresponding taxonomy classification?
The Star Smiles Childrens Dentistry's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When was the Star Smiles Childrens Dentistry's 1518097153 issued?
The Star Smiles Childrens Dentistry's 1518097153 was issued on 2007-03-06.
As of what date was the information pertaining to Star Smiles Childrens Dentistry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Star Smiles Childrens Dentistry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-04.