Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alta Oral Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1821323205

Alta Oral Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2009.

Licensed in
NV
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

526 S Tonopah Dr #200
Las Vegas, NV 89106-4043
Phone: (702) 435-5015
Fax: (702) 366-1483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4509 (NV)

Record details

NPI number1821323205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benny Kohanteb — Owner · (702) 435-5015
NPI enumeratedOctober 2, 2009
Last updated in NPPESOctober 2, 2009
Mailing address526 S Tonopah Dr, 200, Las Vegas, NV 89106-4043

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