Spring Mountain Dental INC

Clinic/Center, Dental in Las Vegas, NV. Organization (NPI-2).

NPI number1508286337

StatusActive

Last updated in NPPESApr 19, 2014

Details

NPI: 1508286337
Entity type: Organization (NPI-2)
Legal business name: Spring Mountain Dental INC
Organization subpart: No
Enumeration date: Apr 19, 2014
Last updated: Apr 19, 2014

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QD0000X	Clinic/Center, Dental	NV20141247407	NV	Yes

Practice location

5785 Spring Mountain Rd
Las Vegas, NV 89146-8829

Phone 702-368-3854

Mailing address

5785 Spring Mountain Rd
Las Vegas, NV 89146-8829

Phone 702-368-3854

Authorized official

Cal R Dykes
President
7023683854

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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