Organization
SHADOW CREEK CHILDREN'S DENTISTRY AND ORTHODONTICS GENERAL PARTNERSHIP
Active
Other names
Shadow Creek Children's Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOLLEY (PARTNER)
(702) 701-2563
Entity
Organization
Contact information
Practice address
3410 E CENTENNIAL PKWY STE 110, NORTH LAS VEGAS, NV 89081-5627
(702) 701-2563
Mailing address
3196 S MARYLAND PKWY STE 307, LAS VEGAS, NV 89109-2314
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us