Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shadow Creek Children's Dentistry and Orthodontics General Partnership

Organization Pediatric Dentistry · NPI 1063309755

Shadow Creek Children's Dentistry and Orthodontics General Partnership provides Pediatric Dentistry in North las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

3410 E Centennial Pkwy Ste 110
North las Vegas, NV 89081-5627
Phone: (702) 701-2563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1063309755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Jolley — Partner · (702) 701-2563
Other names Shadow Creek Children'S Dentistry And Orthodontics
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address3196 S Maryland Pkwy Ste 307, Las Vegas, NV 89109-2314

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