# EASTERN FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1851173785
- **Authorized official:** DR. ZACHARY D SOARD DMD (OWNER)
- **Authorized official phone:** (702) 742-5824

## Contact information

- **Practice address:** 5300 S EASTERN AVE \# SITE120, LAS VEGAS, NV 89119-2377
- **Practice address phone:** (702) 454-7621
- **Mailing address:** 1306 W CRAIG RD STE H, NORTH LAS VEGAS, NV 89032-0215
- **Mailing address phone:** (702) 633-4333

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/16/2023