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

Shadow Creek Children's Dentistry and Orthodontics General Partnership

Organization Pediatric Dentistry · NPI 1063309755

Shadow Creek Children's Dentistry and Orthodontics General Partnership is a Pediatric Dentistry in North las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

3410 E Centennial Pkwy Ste 110
North las Vegas, NV 89081-5627
Phone: (702) 701-2563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1063309755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Jolley — Partner · (702) 701-2563
Other names Shadow Creek Children'S Dentistry And Orthodontics
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address3196 S Maryland Pkwy Ste 307, Las Vegas, NV 89109-2314

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