# WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
- **Other names:** Courtesy Dental and Orthodontics - Smoke Ranch
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073845764
- **Legal business name:** WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
- **Authorized official:** TERRI GARDINER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (407) 772-5124

## Contact information

- **Practice address:** 7310 SMOKE RANCH RD STE F, LAS VEGAS, NV 89128-0257
- **Practice address phone:** (702) 254-7507
- **Practice address fax:** (702) 254-5523
- **Mailing address:** 926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
- **Mailing address phone:** (407) 772-5124
- **Mailing address fax:** (407) 788-3572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4547 | NV | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 01/12/2011