Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1417121468
Martin Tender Dental Ltd
Organization Subpart: NO
Active
NPI Number1417121468
NPI TypeNPI-2 Organization
SpecialtyDentist, Oral and Maxillofacial Surgery
Provider Details
NPI1417121468
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-04-21
Last Updated2008-04-21
Authorized OfficialKevin Martin
Owner
Phone: 7022048862
Mailing Address5001 E Bonanza Rd, Suite 160
Las Vegas, NV 89110-3557
United States
Phone: (702) 307-2273 | Fax: (702) 307-2275
📍 View Map
Primary Practice Address5001 E Bonanza Rd, Suite 160
Las Vegas, NV 89110-3557
United States
Phone: (702) 307-2273 | Fax: (702) 307-2275
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223S0112X – Dentist, Oral and Maxillofacial SurgeryNVS2-26
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About NPI 1417121468

Martin Tender Dental Ltd is an organization registered in the CMS NPPES NPI Registry with NPI number 1417121468. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The organization is located in Las Vegas, NV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-04-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417121468?

NPI 1417121468 belongs to Martin Tender Dental Ltd, a Dentist, Oral and Maxillofacial Surgery in Las Vegas, NV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417121468 active?

The current status of NPI 1417121468 in the NPPES registry is Active. The record was last updated on 2008-04-21.

What specialty is NPI 1417121468?

NPI 1417121468 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417121468?

You can verify NPI 1417121468 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417121468?

The primary practice address on file for NPI 1417121468 is 5001 E Bonanza Rd, Las Vegas, NV 89110-3557. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417121468 issued?

NPI 1417121468 was first issued (enumerated) on 2008-04-21. The NPPES record was last updated on 2008-04-21.

Practice Location Map

Martin Tender Dental Ltd is located at 5001 E Bonanza Rd, Las Vegas, NV. Use the map below to find directions or verify the practice location.

📍 5001 E Bonanza Rd, Las Vegas, NV 89110-3557  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Martin Tender Dental Ltd. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417121468. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, Oral and Maxillofacial SurgeryS2-26NV
Data Verified from CMS NPPES Last synced: 2026-08-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162