| Great Smile Dental Pllc | |
|
2660 Windmill Pkwy Henderson NV 89074-3385 | |
| (702) 309-0906 | |
| (252) 150-0387 |
| Full Name | Great Smile Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2660 Windmill Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Jacqueline Morales (DISTRICT MANAGER) |
| Authorized Official Contact | 8479451050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smile Dental Pllc 720 Osterman Ave Ste 304 Deerfield IL 60015-4339 Ph: (847) 945-1050 | Great Smile Dental Pllc 2660 Windmill Pkwy Henderson NV 89074-3385 Ph: (702) 309-0906 |
| NPI Number | 1043825078 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043825078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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