| Going The Extra Smile Llc | |
|
10880 S Eastern Ave Ste 101 Henderson NV 89052-5706 | |
| (702) 616-1600 | |
| (702) 616-6611 |
| Full Name | Going The Extra Smile Llc |
|---|---|
| Speciality | Dentist |
| Location | 10880 S Eastern Ave Ste 101, Henderson, Nevada |
| Authorized Official Name and Position | Parminder Atwal (MANAGING MEMBER) |
| Authorized Official Contact | 7023725973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Going The Extra Smile Llc 10624 S. Eastern Ave. Suite A Pmb 972 Henderson NV 89052-2983 Ph: (702) 372-5973 | Going The Extra Smile Llc 10880 S Eastern Ave Ste 101 Henderson NV 89052-5706 Ph: (702) 616-1600 |
| NPI Number | 1164135240 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 8224477203 |
|---|---|
| Medicare Enrollment ID | O20240424000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164135240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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