# GUSSOW DENTAL CARE PROF CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Vegas Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174398416
- **Authorized official:** JONATHAN WELCH DMD (MANAGING MEMBER)
- **Authorized official phone:** (702) 371-0221

## Contact information

- **Practice address:** 4343 N RANCHO DR STE 131, LAS VEGAS, NV 89130-3422
- **Practice address phone:** (702) 395-7200
- **Mailing address:** 10420 S DECATUR BLVD STE 110, LAS VEGAS, NV 89141-8718
- **Mailing address phone:** (702) 371-0221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 02/14/2025