Star Smiles Childrens Dentistry
Dental Clinic
4040 North Martin Luther King Bl, Suite B, North Las Vegas
Nevada, 89032-3206
702-639-3515 702-639-3516
Maps & DirectionsStar Smiles Childrens Dentistry is a Dental Clinic in North Las Vegas, Nevada. It is located at 4040 North Martin Luther King Bl, Suite B, North Las Vegas, NV and its contact number is 702-639-3515. The authorized person for Star Smiles Childrens Dentistry is Timothy A Wilson
who is Dentist of the clinic and their contact number is 702-639-3515. The primary license number for Star Smiles Childrens Dentistry is 4522T (Dentist) in Nevada.
Star Smiles Childrens Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Star Smiles Childrens Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Star Smiles Childrens Dentistry |
| Specialization: | Dentistry |
| Clinic Address: | 4040 North Martin Luther King Bl, Suite B, North Las Vegas,
Nevada, 89032-3206 |
| Phone: | 702-639-3515 |
| Fax: | 702-639-3516 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Timothy A Wilson |
| Position: | Dentist |
| Contact Number: | 702-639-3515 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Star Smiles Childrens Dentistry clinic are as mentioned below.
| NPI Number: | 1518097153 |
| NPI Enumeration Date: | 06 Mar, 2007 |
| NPI Last Update On: | 04 Apr, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Star Smiles Childrens Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 4522T | Nevada | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100506669 | Medicaid | Nevada | |
| 100502976 | Medicaid | Nevada | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Star Smiles Childrens Dentistry
4040 North Martin Luther King Blvd., Suite B
North Las Vegas, Nevada |
| Zip: | 89032-6330 |
| Phone Number: | 702-639-3515 |
| Fax Number: | 702-639-3516 |
Patients can reach Star Smiles Childrens Dentistry at
4040 North Martin Luther King Bl, Suite B, North Las Vegas, Nevada or can
call to book an appointment on 702-639-3515.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.