Provider Demographics
NPI:1235280397
Name:ADAM PERSKY DMD & SILVA BATTAGLIN DMD LTD
Entity Type:Organization
Organization Name:ADAM PERSKY DMD & SILVA BATTAGLIN DMD LTD
Other - Org Name:SMILESHAPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-220-7966
Mailing Address - Street 1:7945 W SAHARA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7908
Mailing Address - Country:US
Mailing Address - Phone:702-220-7966
Mailing Address - Fax:702-220-7926
Practice Address - Street 1:7945 W SAHARA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7908
Practice Address - Country:US
Practice Address - Phone:702-220-7966
Practice Address - Fax:702-220-7926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty