Provider Demographics
NPI:1467827105
Name:A PLUS DENTAL GROUP LLC
Entity Type:Organization
Organization Name:A PLUS DENTAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSSOOSI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-522-9192
Mailing Address - Street 1:2285 E FLAMINGO RD
Mailing Address - Street 2:101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5100
Mailing Address - Country:US
Mailing Address - Phone:702-522-9192
Mailing Address - Fax:702-546-5679
Practice Address - Street 1:2285 E FLAMINGO RD
Practice Address - Street 2:101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5100
Practice Address - Country:US
Practice Address - Phone:702-522-9192
Practice Address - Fax:702-546-5679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6365122300000X
NV6598122300000X
NVS3-2811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty