General Dentists / Dentistas Generales - NEVADA MEDICAID ADULT

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1 BATTLE MOUNTAIN # Battle Mountain Dental 100 Carson Road, Ste 1 Battle Mountain, NV (775) M-T 9am-5pm W-Th 9am-5pm # 5083 Thompson, William NPI: LIC: 5083 CARSON CITY # Courtesy Dental & Orthodontics - Carson City 307 W Winnie Ln, Ste 2 Carson City, NV (775) M 7am - 4pm, T 7am - 3pm W-F 7am-3pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 5098 Curtis, Russell NPI: LIC: 5098 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina NPI: LIC: 6467 # First Care Dental, Inc. 314 W 5Th Street Carson City, NV (775) , Chinese Mandarin,, Vietnamese M-Th 8am - 5pm CEDAR CITY # Complete Family Dental 110 W 1325 N Ste 125 Cedar City, UT (435) M 9am - 4pm, T 9am - 5pm W-Th 9am-5pm # Ludlow, Jeremy ELKO NPI: LIC: # Any Day Dental - Elko 2575 N 5Th Street, Ste A Elko, NV (775) M-F 8am - 6pm # 4938 Cressman, Clark NPI: LIC: 4938 # 4167 Kirkland, Travis NPI: LIC: 4167 # GR6495TA Osterhoudt, Darrell NPI: LIC: GR6495TA # 3224 Willardsen, James NPI: LIC: 3224 # Elko Family Medical & Dental Center Th St Elko, NV (844) M-T 7am-6pm W 7am-6am, Th 7am-6pm # 6671 Butler, Jacob NPI: LIC: 6671 # 6713 Egbert, Daniel NPI: LIC: 6713 # 6134 Putnam, Bryce NPI: LIC: 6134 # 2644NV Shin, Eunsook NPI: LIC: 2644NV FALLON # Fallon Family Dental Care LLC 300 West A Street Fallon, NV (775) # 5894 Jaques, Cary NPI: LIC: 5894 GARDNERVILLE # Just Smiles Dental 1328 Us Hwy 395 North, Ste 305 Gardnerville, NV (775) M 8am - 4pm, T 8am - 5pm W 8am-5pm, Th 8am-4pm, F 8am-5pm # 5870 Mcgruder, Keith NPI: LIC: 5870 HAWTHORNE # Bruce Dow, DDS 155 South C St. Hawthorne, NV (775) # 2137 Dow, Bruce NPI: LIC: 2137 HENDERSON # Apple Dental 301 N. Pecos Rd, Ste F Henderson, NV (702) , Korean, Th-F 9am-6pm # 2887 Paik, Dan NPI: LIC: 2887 # Children's Dentistry and Orthodontics 2510 Anthem Village Dr. #120 Henderson, NV (702) M-T 8am-4pm Th-F 8am-4pm S 8am - 4pm # 6866 Borghei, Sarah NPI: LIC: 6866 # 5929 Delisle, Steven NPI: LIC: 5929 # 6752 Delisle, Nicholas NPI: LIC: 6752 # 6024 Gandotra, Vivek NPI: LIC: 6024 # 6831 Kim, Eugene NPI: LIC: 6831 # 5606 Lebroke, Ronald NPI: LIC: 5606 # 6549 Lee, Steven NPI: LIC: 6549 # 6830CA Lim, Jason NPI: LIC: 6830CA # 6659 Mismas, Rachel NPI: LIC: 6659 # 6841 Nguyen, Jack NPI: LIC: 6841 # 6925 Patel, Payal NPI: LIC: 6925 # 3080 Richens, Bradley NPI: LIC: 3080 # Coast Dental-Henderson 2660 Windmill Pkwy Henderson, NV (702) # 6957 Brawley, Carmen NPI: LIC: 6957 # Ramadurgam, Sundara NPI: LIC: # 4409 Yen, Jennifer NPI: LIC: 4409 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 1 of 18

2 # Courtesy Dental & Orthodontics - Henderson 2811 N Green Valley Pkwy # Wirig Orthodontics 375 N Stephanie St, Ste 211 Henderson, NV # 29704TX Khosousi, Mohammad NPI: LIC: 29704TX # 6365 Khossoosi, Leila NPI: LIC: 6365 Henderson, NV (702) M-T 10am-6pm W-Th 10am-6pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina NPI: LIC: 6467 # H & M Dental 4401 East Sunset Road, Ste 3 Henderson, NV (702) , Tagalog, Other, Vietnamese M 8am - 5pm, T 8am - 7pm W 8am-5pm, Th 9am-6pm, F 9am-5pm S 8am - 2pm # 4922 Nguyen, Hien NPI: LIC: 4922 # Lowe Dental Care 1552 W. Warm Springs Rd, Ste 120 Henderson, NV (702) M-F 7am - 5pm # 3193 Lowe-Richens, Carole NPI: LIC: 3193 (702) # 6539 Wirig, Spencer NPI: LIC: 6539 LAS VEGAS # A C Dental, LCC 1520 N Eastern Ave, Ste 105 Las Vegas, NV (702) Vietnamese, M-Th 10am - 7pm # 4817 Do, Dominic NPI: LIC: 4817 # 3776 Le, Tuan NPI: LIC: 3776 # 6941 Tran, Halan NPI: LIC: 6941 # 6463NV Truong, Nhan NPI: LIC: 6463NV # A Plus Dental Group, LLC 2285 E. Flamingo Rd, Ste #101 Las Vegas, NV (702) , Farsi, # 6794 Jimenez-Marquez, Jorge NPI: LIC: 6794 # 29704TX Khosousi, Mohammad NPI: LIC: 29704TX # 6365 Khossoosi, Leila NPI: LIC: 6365 # A Plus Dental Group, LLC 4226 S. Durango Drive, Ste 103 Las Vegas, NV (702) # 6794 Jimenez-Marquez, Jorge NPI: LIC: 6794 # Able Dental 3211 N. Tenaya Way Ste 122 Las Vegas, NV (702) , Vietnamese M-T 10am-5pm # 4817 Do, Dominic NPI: LIC: 4817 # S. Eastern Ave Ste #101 Las Vegas, NV (702) W-Th 8am-5pm # 6530 Han, Irene NPI: LIC: 6530 # 6811 Hon, Larry NPI: LIC: 6811 # 4886 Nguyen, Man NPI: LIC: 4886 # 6931 Petrie, Natasha NPI: LIC: 6931 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 2 of 18

3 # E. Flamingo Rd Ste E 2 Las Vegas, NV (702) W-Th 9am-6pm # 6824 Culpepper, Marah NPI: LIC: 6824 # 4886 Nguyen, Man NPI: LIC: 4886 # S. Rancho Dr, Ste 3 Las Vegas, NV (702) T 9am - 5pm W-F 9am-5pm S 9am - 5pm # 6942 Koscinski, Matt NPI: LIC: 6942 # 4886 Nguyen, Man NPI: LIC: 4886 # N. Nellis Blvd Las Vegas, NV (702) * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 3 of 18

4 # S. Maryland Pkwy Ste A Las Vegas, NV (702) , Tagalog, Vietnamese # 3732 Fu, Suzan # W. Lake Mead Blvd Ste 150 Las Vegas, NV NPI: LIC: 3732 # Meadows Ln, Ste 1350 Las Vegas, NV (702) (702) M 9am - 6pm, T 10am - 7pm W-F 9am-6pm S 8am - 4pm * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 4 of 18

5 # Blue Diamond Rd, Ste 100 Las Vegas, NV (702) T 9am - 6pm W-F 9am-6pm # S. Rainbow Blvd, Ste 103 Las Vegas, NV (702) M-F 8am - 4pm * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 5 of 18

6 # W. Farm Rd Ste 120 # E. Charleston Blvd Las Vegas, NV (702) (702) # S. Rainbow Blvd Las Vegas, NV (702) M 9am - 6pm, T 8am - 5pm Th-F 9am-6pm * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 6 of 18

7 # 6530 Han, Irene NPI: LIC: 6530 # 6811 Hon, Larry # Affordable Dental at East Sahara 953 E. Sahara Ste A-2 NPI: LIC: 6811 # S. Rancho Dr, Ste 4 Las Vegas, NV (702) T 9am - 5pm W-F 9am-5pm S 9am - 5pm # 3732 Fu, Suzan NPI: LIC: 3732 # 6946 Hua, Anthony NPI: LIC: 6946 # 6942 Koscinski, Matt NPI: LIC: 6942 # 2372 Kuiava, Timothy NPI: LIC: 2372 # 4886 Nguyen, Man NPI: LIC: 4886 # 6931 Petrie, Natasha NPI: LIC: 6931 # 4582 Vernon, Jorge # Ace Dental 5516 Boulder Hwy Ste 2A Las Vegas, NV (702) , Tagalog, Vietnamese # 4530 Pham, Robert NPI: LIC: 4530 # Aces Dental 6127 S. Rainbow Blvd, Ste 100 Las Vegas, NV (702) , French, Hindi # 6760 Aquino, Gabrielle NPI: LIC: 6760 # 5104 Gupta, Manisha NPI: LIC: 5104 # 6670NV Nou, Cindy NPI: LIC: 6670NV # 5053 Sastry, Vilas NPI: LIC: 5053 # Aces Dental 3674 E. Sunset Rd Las Vegas, NV (702) , French, Hindi # 6760 Aquino, Gabrielle NPI: LIC: 6760 # 5104 Gupta, Manisha NPI: LIC: 5104 # 6670NV Nou, Cindy NPI: LIC: 6670NV # 5053 Sastry, Vilas NPI: LIC: 5053 (702) , Chinese (T) M 9am - 5pm, T 10am - 6pm W 9am-5pm, Th 10am-6pm, F 9am-5pm S 9am - 3pm # 6902 Chi, Hyunseok NPI: LIC: 6902 # Affordable Dental at Flamingo and Sandhill 3730 E. Flamingo Rd Las Vegas, NV (702) Vietnamese, M 9am - 5pm, T 10am - 6pm Th-F 9am-5pm S 9am - 3pm # 6784NV Brar, Puneet NPI: LIC: 6784NV # 6902 Chi, Hyunseok NPI: LIC: 6902 # 4552 Hang, John NPI: LIC: 4552 # 6637NV Phui, Andy NPI: LIC: 6637NV # 3692 Ting, David NPI: LIC: 3692 # All About Beautiful Smiles Dental 8665 W. Flamingo Rd Ste 104 Las Vegas, NV (702) , Chinese Mandarin, Hindi, Panjabi, Sindhi, # 4640 Phen, Huai NPI: LIC: 4640 NPI: LIC: 4582 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 7 of 18

8 # Allstar Dental 737 N. Nellis Blvd. # Atlas Dental Group 7460 S. Rainbow Blvd, Ste 100 # Celebrate Dental & Braces 5900 W. Cheyenne Ave # Complete Dental, LLC 2625 S. Rainbow Blvd, Ste #D-100 Las Vegas, NV Las Vegas, NV Las Vegas, NV Las Vegas, NV (702) French,, Tagalog, Vietnamese # 3505 Tran, Tan NPI: LIC: 3505 # Alpha Smiles Dental Care, LLC South Maryland Parkway (702) , Chinese (T) M 10am - 7pm, T 12pm - 7pm Th-F 12pm-7pm S 10am - 5pm # 4326 Chan, Howard NPI: LIC: 4326 # Ambient Dental 6007 S. Rainbow Blvd Las Vegas, NV (702) , French, Vietnamese # 3505 Tran, Tan NPI: LIC: 3505 # American Dental Center 6901 W. Charleston Blvd Las Vegas, NV (702) Arabic, Armenian, Persian (T), Russian,, Tagalog M 8am - 5pm, W-Th 8am-5pm # 0434 Ashman, Charles NPI: LIC: 0434 # 4823 Nguyen, Huy NPI: LIC: 4823 # 4959 Reyes, Loveline NPI: LIC: 4959 (702) , Tagalog # 6711 Aranas, Jubert NPI: LIC: 6711 # Boca Dental & Braces 5642 S. Eastern Ave Ste B Las Vegas, NV (702) # 6743 Dannels, Wyatt NPI: LIC: 6743 # 6868 Goodman, Christopher NPI: LIC: 6868 # Boca Dental & Braces 556 N. Eastern Ave Ste I Las Vegas, NV (702) M-F 9am - 7pm # 6743 Dannels, Wyatt NPI: LIC: 6743 # 6868 Goodman, Christopher NPI: LIC: 6868 # Carol-Ann Rowe DDS Ltd 3885 S. Decatur Blvd, Ste 1100 Las Vegas, NV (702) M 9am - 7pm, T 9am - 6pm W 9am-6pm, # 3482 Rowe, Carol NPI: LIC: 3482 (702) , Korean, Cantonese, Japanese, Samoan, M-F 8am - 7pm # 6629 Boyd, Robert NPI: LIC: 6629 # 6626 Lee, Philip NPI: LIC: 6626 # Cheyenne Decatur Dental 3226 N. Decatur Blvd Las Vegas, NV (702) W-Th 8am-5pm # 1007 Justice Jr, Owen NPI: LIC: 1007 # City Dental 2272 S. Nellis Blvd, Ste 2 (702) , Tagalog M-Th 10am - 6pm # 6060 Barbosa, Ernesto NPI: LIC: 6060 # Coast Dental-Spring Valley 8445 W Flamingo Rd Las Vegas, NV (702) , Tagalog M-Th 8am - 5pm # 6957 Brawley, Carmen NPI: LIC: 6957 # Ramadurgam, Sundara NPI: LIC: # 6615 Wu, Jessica NPI: LIC: 6615 (702) ,, Korean M-T 9am-7pm W-Th 9am-7pm S 9am - 5pm # 4759 Jin, Jong NPI: LIC: 4759 # Coronado Dental 7377 S Jones Blvd Ste 110 Las Vegas, NV (702) , Vietnamese W-Th 9am-6pm # 4322 Pham, Chi NPI: LIC: 4322 # Courtesy Dental & Orthodontics - Centennial 7901 W Tropical Pkwy, Ste 120 Las Vegas, NV (702) M-T 9am-5pm Th-F 7am-3pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina NPI: LIC: 6467 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 8 of 18

9 # Courtesy Dental & Orthodontics - Charleston 320 N. Nellis Blvd, Ste 4 # Crowne Dental 8390 W. Sahara Ave, Ste 110 Las Vegas, NV # Discount Dental 60 N. 25Th St, Ste 110 Las Vegas, NV # Eastern Hills Family Dental LLC 5905 S. Eastern Ave, Ste 112 Las Vegas, NV Las Vegas, NV (702) T 8am - 6pm W-F 8am-6pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina (702) , Tagalog W 12pm-6pm, Th 8am-5pm, F 7am-1pm # 5577 Reese, Truvella NPI: LIC: 5577 # Decatur Children's Dental 1111 N. Decatur Blvd Las Vegas, NV (702) M-T 10am-7pm W-Th 10am-7pm # 6678 Alhwayek, Christelle NPI: LIC: 6678 # 5606 Lebroke, Ronald NPI: LIC: 5606 (702) M 9am - 5pm, T 10am - 6pm W 10am-6pm, Th 11am-7pm, F 9am-5pm S 9am - 5pm # 6902 Chi, Hyunseok NPI: LIC: 6902 # 6641 Tran, Mason NPI: LIC: 6641 # Discovery Dental 2900 E. Desert Inn Road, Ste 109 Las Vegas, NV (702) # 5801 Virtuoso, Armand NPI: LIC: 5801 (702) W 9am-6pm, Th 8am-5pm, F 8am-3pm # 5876 Mathisen, Deanna NPI: LIC: 5876 # Eastwind Dental 2075 East Windmill Lane Ste 110 Las Vegas, NV (702) Vietnamese, # 4837 Nguyen, Thong NPI: LIC: 4837 # First Dentists, LLC 69 N. Nellis Blvd NPI: LIC: 6467 # Courtesy Dental & Orthodontics - Smoke Ranch 7310 Smoke Ranch Rd, Ste F Las Vegas, NV (702) M-F 8am - 4pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina NPI: LIC: 6467 # Dental Nation Inc 3255 S. Eastern Ave Las Vegas, NV (702) , Tagalog W-Th 8am-5pm # 5852 Black, Kline NPI: LIC: 5852 # Dental Now 6116 W. Flamingo Rd Las Vegas, NV (702) , Vietnamese M 9am - 6pm, W 9am-6pm, S 9am - 2pm # 5696 Dang, Thuong NPI: LIC: 5696 # Dr. Michael Wendelboe, DMD, PC 7260 W. Azure, Ste 110 Las Vegas, NV (702) W 8am-5pm, # 5569 Wendelboe, Michael NPI: LIC: 5569 #FQHC Eastern Family Medical & Dental Center 2212 S. Eastern Ave (702) M-F 7am - 6pm # 5952 Anwar, Adeel NPI: LIC: 5952 # 3471 Davis, Tyree NPI: LIC: 3471 # 2644NV Shin, Eunsook NPI: LIC: 2644NV Las Vegas, NV (702) , Korean, # 6641 Tran, Mason NPI: LIC: 6641 # Happy Dental 6707 W. Charleston Blvd, Ste 1A Las Vegas, NV (702) , Cantonese, Mandarin M-T 9am-5pm Th-F 9am-5pm S 9am - 2pm # 6902 Chi, Hyunseok NPI: LIC: 6902 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 9 of 18

10 # Herrera Family Dental, PLLC 1300 S. Lamb Blvd Ste 400 (702) M 11am - 7pm, S 8am - 3pm # 6786 Herrera, Evelyn NPI: LIC: 6786 # Hollywood Smile Dental 2425 E. Tropicana Ave Las Vegas, NV (702) Korean,, Tagalog, Vietnamese M 9am - 6pm, T 9am - 4pm Th-F 9am-4pm S-Su 9am-1pm # 6140 Kim, Min NPI: LIC: 6140 # Hue Dental 1350 S. Jones Blvd, Ste 140 Las Vegas, NV (702) Portuguese, # 5058 Dos Santos, Luiz NPI: LIC: 5058 #FQHC Huntridge Dental Center 2100 S. Maryland Pkwy Ste 5 (702) # icare Dental 931 S. Decatur Blvd # 3776 Le, Tuan NPI: LIC: 3776 # Ivy Dental, Inc. 740 N. Eastern Ave., Ste 120 Las Vegas, NV (702) , Chinese Mandarin W-Th 8am-5pm # 3515 Wu, Jennifer NPI: LIC: 3515 # Matteucci Family Dental 2764 Lake Sahara Drive, Ste 107 Las Vegas, NV (702) W 8am-5pm, Th 8am-2pm, F 8am-5pm # NV6100 Matteucci, Matthew NPI: LIC: NV6100 # Moore Family Dentistry 2560 S. Maryland Pkwy, Ste 5 Las Vegas, NV (702) W 8am-5pm, Th 7am-4pm # 3364 Moore, David NPI: LIC: 3364 # 0966 Moore, Michael NPI: LIC: 0966 # My Care Dental 4045 S Buffalo Dr Ste A-102 Las Vegas, NV (702) , Vietnamese # 4592 Do, Tuyen # Nevada Dentistry & Braces 4492 S. Pecos Rd Las Vegas, NV (702) , Farsi, # 6790 Khorshad, Daniel NPI: LIC: 6790 # 5804 Patterson, Jacqueline NPI: LIC: 5804 # 6641 Tran, Mason NPI: LIC: 6641 # 6463 Truong, Vanna NPI: LIC: 6463 # Paradise Village Dental 518 E. St. Louis Ave, Ste A (702) M 10am - 6pm, W 10am-6pm, # 4709 Nguyen, Trang NPI: LIC: 4709 # Parkway Dental 210 S. Maryland Pkwy, Ste A Las Vegas, NV (702) , Tagalog M-T 6pm-7pm, F 8am-7pm S 8am - 2pm # 4156 Mangapit, Ronrico NPI: LIC: 4156 # Perfect 32 Dental Care 2810 W. Charleston Blvd F 56 Las Vegas, NV (702) Russian, Arabic, # Planet Dental 4570 N. Rancho Dr, Ste 2 Las Vegas, NV (702) , Vietnamese M-Th 9am - 6pm # 4603 Nguyen, Khanh Tuan NPI: LIC: 4603 # 4760T Nguyen, Hop NPI: LIC: 4760T # Pure Dental 4250 S. Rainbow Blvd,Ste Las Vegas, NV (702) , Vietnamese M 8am - 6pm, T 10am - 6pm Th-F 10am-6pm S 10am - 6pm # 4709 Nguyen, Trang NPI: LIC: 4709 # Radiant Smiles LLC W. Sahara Ave #108 Las Vegas, NV (702) M 9am - 6pm, T 2pm - 7pm W 1pm-7pm, Th 9am-1pm, F 10am-3pm S 10am - 2pm # 4725 Miranda, Norma NPI: LIC: 4725 # 6493 Moskowitz, Yonatan NPI: LIC: 6493 # 4480 Ruiz, Adrian NPI: LIC: 4480 # 4273 Wilson, Scott NPI: LIC: 4273 Las Vegas, NV NPI: LIC: 4592 # 6551NV Hijazi, Maen (702) , Vietnamese NPI: LIC: 6551NV # 4328 Do, Thanh NPI: LIC: 4328 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 10 of 18

11 # Radiant Smiles Series 5 LLC 7469 W Lake Mead Blvd Ste 270 # Reel Smiles Dental 7785 N. Durango Dr Ste 140 # 6092 Rosales, Jon-Christopher NPI: LIC: 6092 # Ruangjumrusvet, Chanon # Simply Wisdom Teeth 8954 Ridge Ave #3 Las Vegas, NV Las Vegas, NV NPI: LIC: Las Vegas, NV (702) (702) (435) M 9am - 1pm, T 2pm - 7pm, F 9am-2pm S 9am - 2pm # 4725 Miranda, Norma NPI: LIC: 4725 # 4480 Ruiz, Adrian NPI: LIC: 4480 # 4273 Wilson, Scott NPI: LIC: 4273 # Radiant Smiles, Series S. Nellis Blvd (702) Armenian, Farsi,, Tagalog, Turkish M 11am - 7pm, T 2pm - 8pm W 10am-2pm, Th 11am-8pm, F 9am-6pm S 9am - 6pm # 29704TX Khosousi, Mohammad NPI: LIC: 29704TX # 4725 Miranda, Norma NPI: LIC: 4725 # 4823 Nguyen, Huy NPI: LIC: 4823 # 4480 Ruiz, Adrian NPI: LIC: 4480 # Rancho Dental 1070 North Rancho Drive Las Vegas, NV (702) M-Th 9am - 6pm # 5957 Suarez, Virginia NPI: LIC: 5957 M 9am - 5pm, T 10am - 6pm, F 9am-5pm # 4859 Alatorre, Rosalynd NPI: LIC: 4859 # 6784NV Brar, Puneet NPI: LIC: 6784NV # 6902 Chi, Hyunseok NPI: LIC: 6902 # 3046 Chin, Harvey NPI: LIC: 3046 # 6937 Cho, Alan NPI: LIC: 6937 # 4274 Chung, David NPI: LIC: 4274 # Dao, Alexander NPI: LIC: # 5279NV Fong Jr, Henley NPI: LIC: 5279NV # 6904 Galada, Michael NPI: LIC: 6904 # 6024 Gandotra, Vivek NPI: LIC: 6024 # 6891 Ha, Annie NPI: LIC: 6891 # 4350 Haider, Chance NPI: LIC: 4350 # 4552 Hang, John NPI: LIC: 4552 # 3072 Justice, Glenn NPI: LIC: 3072 # 6821 Lee, Teresa NPI: LIC: 6821 # 4751NV Pak, Minyoung (Jonathan) NPI: LIC: 4751NV # 5737 Tiburcio, Don NPI: LIC: 5737 # 3692 Ting, David NPI: LIC: 3692 # 6641 Tran, Mason NPI: LIC: 6641 # Regent Dental, LLC 1780 N. Buffalo Dr, Ste 109 Las Vegas, NV (702) , Chamic languages, Tagalog, Vietnamese # 4816 Chen, Richard NPI: LIC: 4816 # Sahara Jones Dental 2375 S. Jones Blvd, Ste 12A Las Vegas, NV (702) Vietnamese M-F 10am - 5pm # 2362 Trinh, Hoa NPI: LIC: 2362 # Salud Dental 6520 E. Lake Mead Blvd, Ste 105 Las Vegas, NV (702) M-T 10am-6pm W 10am-6pm, Th 8am-6pm, F 10am-6pm S 9am - 3pm # 6403 Betancourt-Preval, Edgar NPI: LIC: 6403 # Hendrickson, Ivan NPI: LIC: # Smile Care Professionals 6386 W Sahara Ave, Ste 6388 Las Vegas, NV (702) , Portuguese, Tagalog # 4273 Wilson, Scott NPI: LIC: 4273 # 5806 Zhou, Wenlian NPI: LIC: 5806 # Smile Haven Family Dentistry 4045 S. Eastern Ave. Las Vegas, NV (702) , Chinese Mandarin # 5037 Hsieh, Jason NPI: LIC: 5037 # 4996T Ku, Koshiu NPI: LIC: 4996T # Smiles 4 U 3211 S. Eastern Ave Las Vegas, NV (702) Th-F 9am-6pm S 9am - 3pm, Su 8am - 2pm # NV4555 Trinh, Thomas NPI: LIC: NV4555 # 6637NV Phui, Andy NPI: LIC: 6637NV # 6496 Pritz, Norma NPI: LIC: 6496 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 11 of 18

12 # Star Brite Dental 6720 N Durango Dr Ste 260 # Su Familia Dental 4161 South Eastern Ave, Ste E8 # Thomas Trinh, DDS, LTD 235 N. Eastern Ave, Ste 107 # Tropicana Dental 4855 S. Pecos Road, Ste B-1 Las Vegas, NV Las Vegas, NV Las Vegas, NV Las Vegas, NV (702) , Vietnamese (702) (702) Vietnamese, (702) M 8am - 5pm, T 8am - 12pm W-F 8am-5pm # 4623 Xa, Trung M-T 9am-5pm Th-F 9am-5pm # Afshari, Nader # NV4555 Trinh, Thomas NPI: LIC: NV4555 M 8am - 5pm, W 8am-5pm, Th 8am-12pm # 3517 Carahalis, John NPI: LIC: 4623 # Star Dental 4542 E. Tropicana Ave Las Vegas, NV (702) , Tagalog, Vietnamese M-F 8am - 6pm # 4922 Nguyen, Hien NPI: LIC: 4922 # Stars Dental 467 E. Silverado Ranch Blvd, Ste 115 Las Vegas, NV (702) Vietnamese, T 9am - 5pm # 4890 Chiem, Wendy NPI: LIC: 4890 # Stars Dental Inc S. Rainbow Blvd Ste 125 Las Vegas, NV (702) , Korean, Chinese (T),, Tagalog, Vietnamese M-T 9am-5pm W 9am-5pm, S 9am - 1pm # 4935 Chiem, Peter NPI: LIC: 4935 NPI: LIC: # 6667 Irani Rohani, Mahzarine NPI: LIC: 6667 # Sunrise Children's Dentistry 3196 S. Maryland Pkwy #307 Las Vegas, NV (702) , Portuguese M 8am - 5pm, T 8am - 12pm W-Th 9am-6pm S 8am - 1pm # 6648 Hyer, Chandler NPI: LIC: 6648 # The Dental Center of Nevada 601 S Rancho Dr Ste B15 Las Vegas, NV (702) , Tagalog W 9am-6am, Th 9am-6pm, F 9am-3pm S 8am - 2pm # 4685 Paleracio, Philip (Felipe) NPI: LIC: 4685 # Thomas S. Matteucci, DDS 2764 Lake Sahara #107 Las Vegas, NV (702) W 8am-5pm, Th 8am-2pm, F 8am-5pm # 2334 Matteucci, Thomas NPI: LIC: 2334 # Tower Dental 512 E. Saint Louis Ave (702) Korean, M 1pm - 5pm, T 8am - 5pm, F 8am-12pm # 3518 Lee, David NPI: LIC: 3518 # 4073 Lee, Keon NPI: LIC: 4073 # Tri Manh Nguyen DDS Inc 6820 W Flamingo Rd Ste I Las Vegas, NV (702) , Vietnamese M-T 9am-5pm Th-F 9am-5pm # 4368 Nguyen, Tri NPI: LIC: 4368 # Tri-State Dental 450 E. Silverado Ranch Blvd, Ste 105 Las Vegas, NV (702) , Vietnamese # 4856 Nguyen, Brian NPI: LIC: 4856 # 6372 Nguyen, Kim NPI: LIC: 6372 # 6941 Tran, Halan NPI: LIC: 6941 NPI: LIC: 3517 # 6530 Han, Irene NPI: LIC: 6530 # 3518 Lee, David NPI: LIC: 3518 # 4073 Lee, Keon NPI: LIC: 4073 # UNLV School Dental Medicine Faculty Dental Practice-School B 1700 W. Charleston Blvd. Bldg. D Las Vegas, NV (702) # 3748 Mcalpine, George NPI: LIC: 3748 # 2063 Thiriot, Rick NPI: LIC: 2063 # 5806 Zhou, Wenlian NPI: LIC: 5806 # UNLV School Dental Medicine SDM on Main- School Based 4505 S. Maryland Parkway Las Vegas, NV (702) # 3322 Brandon, Tina NPI: LIC: 3322 # 3748 Mcalpine, George NPI: LIC: 3748 # 5806 Zhou, Wenlian NPI: LIC: 5806 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 12 of 18

13 # UNLV School of Dental Medicine DDS Practice- School Based 1700 W. Charleston Blvd. Bldg. A # UNLV School of Dental Medicine- School Based 1700 W. Charleston Blvd. Bldg A # Viva Dental 840 N. Decatur Blvd Ste H Las Vegas, NV Las Vegas, NV (702) Las Vegas, NV (702) (702) Vietnamese, # 4732 Nguyen, Diem # 3748 Mcalpine, George # 3748 Mcalpine, George NPI: LIC: 4732 NPI: LIC: 3748 # 2063 Thiriot, Rick NPI: LIC: 2063 # 5806 Zhou, Wenlian NPI: LIC: 3748 # 2063 Thiriot, Rick NPI: LIC: 2063 # 5806 Zhou, Wenlian # Wirig Orthodontics 4610 Meadows Ln, Ste A Las Vegas, NV NPI: LIC: 5806 # UNLV School of Dental Medicine General Practice- School Base 1001 Shadow Lane, Ms 7413 NPI: LIC: 5806 # Urgent Dental LLC 500 E. Windmill Lane #130 Las Vegas, NV (702) M-F 8am - 6pm # 6539 Wirig, Spencer NPI: LIC: 6539 Las Vegas, NV (702) # 3748 Mcalpine, George NPI: LIC: 3748 # 2063 Thiriot, Rick NPI: LIC: 2063 # 5806 Zhou, Wenlian NPI: LIC: 5806 # UNLV School of Dental Medicine Orthodontics Program- School 1700 W. Charleston Blvd. Bldg. D Las Vegas, NV (702) # 3748 Mcalpine, George NPI: LIC: 3748 # 2063 Thiriot, Rick NPI: LIC: 2063 # 5806 Zhou, Wenlian NPI: LIC: 5806 (702) # 5795 Atwood, Aaron* NPI: LIC: 5795 # V.I.P. Dental 3050 E. Desert Inn Road, Ste 105 Las Vegas, NV (702) Korean, M 8am - 1pm, T 8am - 5pm W 8am-5pm, # 3518 Lee, David NPI: LIC: 3518 # Vegas Family Dental LLC 2840 E Flamingo Rd Ste G Las Vegas, NV (702) , Tagalog T 9am - 6pm # 5795 Atwood, Aaron NPI: LIC: 5795 # Wonderful Smiles Dental 7211 S Eastern Ave Ste 110 Las Vegas, NV (702) Vietnamese,, Tagalog M 8am - 5pm, T 11am - 8pm W-F 8am-5pm # 6296 Davis, Brett NPI: LIC: 6296 # 4603 Nguyen, Khanh Tuan NPI: LIC: 4603 NORTH LAS VEGAS # E. Lake Mead Blvd North Las Vegas, NV (702) M 9am - 6pm, T 7am - 3pm W-F 9am-6pm # 4886 Nguyen, Man NPI: LIC: 4886 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 13 of 18

14 # 4886 Nguyen, Man NPI: LIC: 4886 # W. Ann Rd Ste 101 North Las Vegas, NV # Losee Rd Ste 135 North Las Vegas, NV (702) (702) T 8am - 5pm W-Th 8am-5pm S 8am - 4pm # E. Lake Mead Blvd North Las Vegas, NV (702) # Aces Dental 4250 Simmons Street North Las Vegas, NV (702) , French, Hindi # 6760 Aquino, Gabrielle NPI: LIC: 6760 # 5104 Gupta, Manisha NPI: LIC: 5104 # 6670NV Nou, Cindy NPI: LIC: 6670NV # 5053 Sastry, Vilas NPI: LIC: 5053 # Affordable Dental 3960 W. Ann Road #120 North Las Vegas, NV (702) M 9am - 5pm, W 9am-5pm, Th 10am-6pm, F 9am-5pm S 9am - 3pm # 4859 Alatorre, Rosalynd NPI: LIC: 4859 # 6784NV Brar, Puneet NPI: LIC: 6784NV # 4883 Cappiello, Aida NPI: LIC: 4883 # 6902 Chi, Hyunseok NPI: LIC: 6902 # 3046 Chin, Harvey NPI: LIC: 3046 # 4274 Chung, David NPI: LIC: 4274 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 14 of 18

15 # 6573 Chung, Danny NPI: LIC: 6573 # Dao, Alexander # Affordable Dental For Kids 955 W. Craig Rd Ste 106G # Avalon Dental 5465 Simmons St Ste 4 # East Lake Mead Dental 2700 E. Lake Mead Blvd, Ste 6 NPI: LIC: North Las Vegas, NV North Las Vegas, NV North Las Vegas, NV # 5279NV Fong Jr, Henley NPI: LIC: 5279NV (702) (702) , Mandarin (702) # 6904 Galada, Michael NPI: LIC: 6904 # 6024 Gandotra, Vivek NPI: LIC: 6024 # 6558 Goshimea, Dawit NPI: LIC: 6558 # 6891 Ha, Annie NPI: LIC: 6891 # 4350 Haider, Chance NPI: LIC: 4350 # 4552 Hang, John NPI: LIC: 4552 # 6786 Herrera, Evelyn NPI: LIC: 6786 # 6811 Hon, Larry NPI: LIC: 6811 # 3072 Justice, Glenn NPI: LIC: 3072 # 6769 Krieger, Maria NPI: LIC: 6769 # 6821 Lee, Teresa NPI: LIC: 6821 # 4751NV Pak, Minyoung (Jonathan) NPI: LIC: 4751NV # 6637NV Phui, Andy NPI: LIC: 6637NV # 6496 Pritz, Norma NPI: LIC: 6496 # 6092 Rosales, Jon-Christopher NPI: LIC: 6092 # 5737 Tiburcio, Don NPI: LIC: 5737 M-T 10am-6pm Th-F 9am-5pm S 9am - 3pm # 6902 Chi, Hyunseok NPI: LIC: 6902 # 6904 Galada, Michael NPI: LIC: 6904 # 6558 Goshimea, Dawit NPI: LIC: 6558 # Aliante Dental 6885 Aliante Pkwy, Ste 111 North Las Vegas, NV (702) , Chinese Mandarin, Cantonese, German, Korean,, Tagalog M-T 7am-7pm W-Th 7am-7pm S 9am - 5pm, Su 8am - 3pm # 6902 Chi, Hyunseok NPI: LIC: 6902 # 4274 Chung, David NPI: LIC: 4274 # Allure Dental 3910 W. Ann Rd North Las Vegas, NV (702) , Chinese Mandarin, French,, Vietnamese # 3505 Tran, Tan NPI: LIC: 3505, F 8am-4pm # 4348 Hong, Randy NPI: LIC: 4348 # Bonita Dental 2668 N. Las Vegas Blvd, Ste 101 North Las Vegas, NV (702) , German, Hindi, Urdu M-T 10am-6pm W-Th 10am-6pm # 6504 Jilani, Khalid NPI: LIC: 6504 # Dentistry For Families 1306 W. Craig Rd, Ste H North Las Vegas, NV (702) M 7am - 4pm, W 8am-5pm, Th 9am-5pm, F 7am-12pm # 6522 Soard, Zachary NPI: LIC: 6522 # Desert Palms Dental 5515 Camino Al Norte, Ste 100 North Las Vegas, NV (702) Tagalog,, Vietnamese M-T 9am-5pm W-Th 9am-5pm # 4348 Hong, Randy NPI: LIC: 4348 # 4272 Nguyen, Trinh NPI: LIC: 4272 W-Th 8am-5pm # 3517 Carahalis, John NPI: LIC: 3517 # 3518 Lee, David NPI: LIC: 3518 # Happy Craig 445 W. Craig Rd. # North Las Vegas, NV (702) , Tagalog, Vietnamese Th-F 9am-6pm S 9am - 3pm # 5696 Dang, Thuong NPI: LIC: 5696 # 4328 Do, Thanh NPI: LIC: 4328 # 4552 Hang, John NPI: LIC: 4552 # 6884 Lee, Andrew NPI: LIC: 6884 # 4823 Nguyen, Huy NPI: LIC: 4823 # 5073 Nguyen, Hung NPI: LIC: 5073 # Phan, Anthony NPI: LIC: # Hola Dental 2175 E. Cheyenne Ave #100 North Las Vegas, NV (702) M-T 10am-6pm W-Th 10am-6pm # 6902 Chi, Hyunseok # 3692 Ting, David NPI: LIC: 6902 NPI: LIC: 3692 # 6024 Gandotra, Vivek # 6641 Tran, Mason NPI: LIC: 6024 NPI: LIC: 6641 # 6558 Goshimea, Dawit NPI: LIC: 6558 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 15 of 18

16 # Icon Dental 1975 W. Craig Rd, Ste 103 North Las Vegas, NV (702) , Tagalog, Vietnamese # 4063 Ngo, Anthony NPI: LIC: 4063 # Millennium Dental 3315 W. Craig Rd. Ste 108 North Las Vegas, NV (702) , Farsi, German, Russian,, Tagalog M-Th 9am - 5pm # 5998NV Rezaei, Seyed NPI: LIC: 5998NV # North Las Vegas Dental Group 1703 Civic Center Dr. Ste # 6 North Las Vegas, NV (702) T 9am - 5pm W 9am-6pm, Th 10am-7pm, F 9am-6pm S 9am - 2pm # 4837 Nguyen, Thong NPI: LIC: 4837 # NV4555 Trinh, Thomas NPI: LIC: NV4555 # Vista Dental 3960 W. Craig Rd. Ste 110 North Las Vegas, NV (702) , Vietnamese W 9am-2pm, Th 9pm-6pm, F 9am-6pm # 6463NV Truong, Nhan NPI: LIC: 6463NV PAHRUMP # Affordable Family Dental 270 S. Dahlia St. Ste 4 Pahrump, NV (775) M-Th 9am - 5pm # 6069NV Yim, Sean NPI: LIC: 6069NV # American Dental 150 S. Hwy 160, Ste C11 Pahrump, NV (775) Vietnamese, # 5073 Nguyen, Hung NPI: LIC: 5073 # Children's Dentistry of Pahrump 1017 E. Basin Ave Ste #1 Pahrump, NV (775) # 6866 Borghei, Sarah NPI: LIC: 6866 # 5929 Delisle, Steven NPI: LIC: 5929 # 6752 Delisle, Nicholas NPI: LIC: 6752 # 6024 Gandotra, Vivek NPI: LIC: 6024 # 6831 Kim, Eugene NPI: LIC: 6831 # 5606 Lebroke, Ronald NPI: LIC: 5606 # 6549 Lee, Steven NPI: LIC: 6549 # 6830CA Lim, Jason NPI: LIC: 6830CA # 6659 Mismas, Rachel NPI: LIC: 6659 # 6841 Nguyen, Jack NPI: LIC: 6841 # 6925 Patel, Payal # 3080 Richens, Bradley NPI: LIC: 3080 RENO #FQHC Community Health Alliance 1055 S. Wells Ave, Ste 120 Reno, NV (775) M-T 7am-3pm W 7am-3pm, Th 7am-6pm, F 7am-3pm S 7am - 3pm # 6121 Clausen, Jessica NPI: LIC: 6121 # 6500 Collier, Lisa NPI: LIC: 6500 # 5555 Dupont, Brandi NPI: LIC: 5555 # 6203NV Fillmore, Alec NPI: LIC: 6203NV # 6895 Fisher, Clayton NPI: LIC: 6895 # 6737NV Hashem, Nelly NPI: LIC: 6737NV # 6455 Katausky, Ryan NPI: LIC: 6455 # Lee, Anita NPI: LIC: # 6375 Lee, Hyuni NPI: LIC: 6375 # 4631 Mcmullen, Joseph NPI: LIC: 4631 # 6668 Montoya, Natalia NPI: LIC: 6668 # 6326NV Ng, Benita NPI: LIC: 6326NV # Courtesy Dental & Orthodontics - Reno 748 S Meadows Pkwy Ste 8 Reno, NV (775) M 10am - 6pm, T 8am - 4pm W-F 8am-4pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina NPI: LIC: 6467 # Just Smiles Dental Care McGruder, P.C Clear Acre Ln Ste S Reno, NV (775) , Korean, M 8am - 5pm, W-F 8am-5pm # 5870 Mcgruder, Keith NPI: LIC: 5870 # Western Dental - Reno 8040 S. Virginia St, Ste 1 Reno, NV (775) W-Th 9am-6pm # 0823 Martin, Marty NPI: LIC: 0823 SPARKS #FQHC Community Health Alliance - Sparks Health Center 2244 Oddie Blvd Sparks, NV (775) M-F 7am - 4pm # 6121 Clausen, Jessica NPI: LIC: 6121 # 6500 Collier, Lisa NPI: LIC: 6500 # 6203NV Fillmore, Alec NPI: LIC: 6203NV NPI: LIC: 6925 * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 16 of 18

17 # 6895 Fisher, Clayton NPI: LIC: 6895 # 6737NV Hashem, Nelly NPI: LIC: 6737NV # 6455 Katausky, Ryan NPI: LIC: 6455 # Lee, Anita NPI: LIC: # 6375 Lee, Hyuni NPI: LIC: 6375 # 4631 Mcmullen, Joseph NPI: LIC: 4631 # 6668 Montoya, Natalia NPI: LIC: 6668 # 6326NV Ng, Benita NPI: LIC: 6326NV # Courtesy Dental & Orthodontics - Sparks 840 I Street, Ste 3 Sparks, NV (775) M 10am - 6pm, T 8am - 4pm W-F 8am-4pm # 6740 Atwal, Parminder NPI: LIC: 6740 # 6336 Basta, Trevor NPI: LIC: 6336 # 4883 Cappiello, Aida NPI: LIC: 4883 # 6675NV Dapra Jr., David NPI: LIC: 6675NV # 6368 Hashtroudi, Saman NPI: LIC: 6368 # 4595 Kanian, Vahag (Victor) NPI: LIC: 4595 # 6467 Myrin, Christina NPI: LIC: 6467 # Wayne G. Terhune, D.D.S Pyramid Way Sutie 1 Sparks, NV (775) T 9am - 5pm W-Th 10am-5pm # 1034 Terhune, Wayne NPI: LIC: 1034 # Western Dental- Sparks 685 E. Prater Way, Ste 103 Sparks, NV (775) W 8am-5pm, Th 9am-6pm, F 8am-5pm # 0823 Martin, Marty NPI: LIC: 0823 # Wildcreek Dental 4650 Wedekind Rd Ste 1 Sparks, NV (775) T 8am - 5pm W-Th 8am-5pm # 6865 Cope, Austin NPI: LIC: 6865 WENDOVER # Wendover Dental Care 399 N. Aria Blvd Wendover, UT (435) M 11am - 3pm, T 9am - 6pm W 9am-5am, Th 9am-5pm, F 11am-3pm # Devries, Bradley NPI: LIC: # Hill, Jared NPI: LIC: * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 17 of 18

18 Availability of Language Assistance Services LIBERTY makes certain language assistance services available to you at no cost. If is not your preferred language and you need help communicating in your preferred language, you may call to ask what language services are available to you. Enrollees with Disabilities As a LIBERTY enrollee (including enrollees with disabilities), you have full and equal access to covered services as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of Directory Information Did you find information that you think may need to be updated in our provider directories? Please let us know, so we can review it. Phone: (866) providerdirectories@libertydentalplan.com * Closed to new members / Cerrado para nuevos miembros. Wheelchair access / Acceso para personas en silla de rueas. Page 18 of 18