# GOING THE EXTRA SMILE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anthem Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164135240
- **Authorized official:** DR. PARMINDER ATWAL DMD (MANAGING MEMBER)
- **Authorized official phone:** (702) 372-5973

## Contact information

- **Practice address:** 10880 S EASTERN AVE STE 101, HENDERSON, NV 89052-5706
- **Practice address phone:** (702) 616-1600
- **Practice address fax:** (702) 616-6611
- **Mailing address:** 10624 S. EASTERN AVE., SUITE A PMB 972, HENDERSON, NV 89052-2983
- **Mailing address phone:** (702) 372-5973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2023
- **Last updated:** 03/21/2025