Provider Demographics
NPI:1134695646
Name:NU SMILES, LLC
Entity Type:Organization
Organization Name:NU SMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-769-4179
Mailing Address - Street 1:9840 DRYDEN CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5532
Mailing Address - Country:US
Mailing Address - Phone:702-769-4179
Mailing Address - Fax:
Practice Address - Street 1:2810 W. HORIZON RIDGE PARKWAY
Practice Address - Street 2:SUITE #110
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-769-4179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental