Provider Demographics
NPI:1033270947
Name:THOMAS S KINTONIS DDS
Entity Type:Organization
Organization Name:THOMAS S KINTONIS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:KINTONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-360-4600
Mailing Address - Street 1:8440 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-360-4600
Mailing Address - Fax:702-869-3706
Practice Address - Street 1:8440 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-360-4600
Practice Address - Fax:702-869-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty