Provider Demographics
NPI:1063170082
Name:NU SMILES2, LLC
Entity type:Organization
Organization Name:NU SMILES2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-848-2525
Mailing Address - Street 1:2810 W HORIZON RIDGE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4593
Mailing Address - Country:US
Mailing Address - Phone:702-848-2525
Mailing Address - Fax:702-848-2333
Practice Address - Street 1:5905 S EASTERN AVE STE 112
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3130
Practice Address - Country:US
Practice Address - Phone:702-848-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty