| Shadow Creek Children's Dentistry And Orthodontics General Partnership | |
|
3410 E Centennial Pkwy Ste 110 North Las Vegas NV 89081-5627 | |
| (702) 701-2563 | |
| Not Available |
| Full Name | Shadow Creek Children's Dentistry And Orthodontics General Partnership |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3410 E Centennial Pkwy Ste 110, North Las Vegas, Nevada |
| Authorized Official Name and Position | Ryan Jolley (PARTNER) |
| Authorized Official Contact | 7027012563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Creek Children's Dentistry And Orthodontics General Partnership 3196 S Maryland Pkwy Ste 307 Las Vegas NV 89109-2314 Ph: () - | Shadow Creek Children's Dentistry And Orthodontics General Partnership 3410 E Centennial Pkwy Ste 110 North Las Vegas NV 89081-5627 Ph: (702) 701-2563 |
| NPI Number | 1063309755 |
|---|---|
| Provider Enumeration Date | 06/23/2025 |
| Last Update Date | 06/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063309755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
North Las Vegas Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 Civic Center Dr Ste 5, North Las Vegas, NV 89030 Phone: 702-452-5751 Fax: 702-868-5755 | |
Royal Dental, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 E. Centennial Pkwy., Suite 110, North Las Vegas, NV 89033 Phone: 702-987-1356 Fax: 702-361-2876 | |
Nevada Dental Professional, Quirt, Kruyer, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4372 W Ann Rd, North Las Vegas, NV 89031 Phone: 702-760-3450 Fax: 702-760-3451 | |
Hylo Park Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3880 W Lake Mead Blvd Ste 100, North Las Vegas, NV 89032 Phone: 702-626-0526 | |
Peterson Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7920 N Decatur Blvd, Suite 106, North Las Vegas, NV 89084 Phone: 702-673-5772 Fax: 702-921-9931 | |
Phan Vo Nguyen Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 W. Craig Road, Suite 121-122, North Las Vegas, NV 89032 Phone: 702-399-9118 Fax: 702-633-7420 |