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

Shahrestani Grand Canyon Modern Dentistry, PC

Organization General Practice Dentistry · NPI 1841048865

Shahrestani Grand Canyon Modern Dentistry, PC provides General Practice Dentistry in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9560 W Skye Canyon Park Dr Ste 100
Las Vegas, NV 89166-6802
Phone: (702) 800-5711
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1841048865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Shahrestani — Dmd · (714) 845-8500
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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