Provider Demographics
NPI:1003198417
Name:THRIVE DENTAL GROUP INC.
Entity Type:Organization
Organization Name:THRIVE DENTAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:OWNER
Authorized Official - Phone:702-877-9977
Mailing Address - Street 1:7312 W CHEYENNE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7425
Mailing Address - Country:US
Mailing Address - Phone:702-480-8187
Mailing Address - Fax:
Practice Address - Street 1:7312 W CHEYENNE AVE STE 4
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7425
Practice Address - Country:US
Practice Address - Phone:702-877-9977
Practice Address - Fax:702-899-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty