| Star Smiles Childrens Dentistry | |
|
4040 North Martin Luther King Bl Suite B North Las Vegas NV 89032-3206 | |
| (702) 639-3515 | |
| (702) 639-3516 |
| Full Name | Star Smiles Childrens Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4040 North Martin Luther King Bl, North Las Vegas, Nevada |
| Authorized Official Name and Position | Timothy A Wilson (DENTIST) |
| Authorized Official Contact | 7026393515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Smiles Childrens Dentistry 4040 North Martin Luther King Blvd. Suite B North Las Vegas NV 89032-6330 Ph: (702) 639-3515 | Star Smiles Childrens Dentistry 4040 North Martin Luther King Bl Suite B North Las Vegas NV 89032-3206 Ph: (702) 639-3515 |
| NPI Number | 1518097153 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518097153 | NPI | - | NPPES |
| 100506669 | Medicaid | NV | |
| 100502976 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4522T (Nevada) | 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 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 | |
Happy Dental 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 | |
North Las Vegas Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 Civic Center Dr, Suite#6, North Las Vegas, NV 89030 Phone: 702-649-1400 Fax: 702-649-0999 | |
Ameritina Dental Craig Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 W Craig Rd Ste B, North Las Vegas, NV 89032 Phone: 646-592-5597 | |
Sedation Dental Center Of Las Vegas Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4090 N Martin L King Blvd, North Las Vegas, NV 89032 Phone: 702-489-5460 |