Shadow Creek Children'S Dentistry and Orthodontics General Partnership
NPI 1063309755 · Pediatric Dentistry · North Las Vegas, NV
Shadow Creek Children'S Dentistry and Orthodontics General Partnership is a Pediatric Dentistry organization in North Las Vegas, NV (NPI 1063309755).
Provider details
- NPI number
- 1063309755
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Jolley, Partner(702) 701-2563
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shadow Creek Children'S Dentistry and Orthodontics
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Shadow Creek Children'S Dentistry and Orthodontics General Partnership's NPI number?
- Shadow Creek Children'S Dentistry and Orthodontics General Partnership's National Provider Identifier (NPI) is 1063309755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadow Creek Children'S Dentistry and Orthodontics General Partnership?
- Shadow Creek Children'S Dentistry and Orthodontics General Partnership is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Shadow Creek Children'S Dentistry and Orthodontics General Partnership located?
- Shadow Creek Children'S Dentistry and Orthodontics General Partnership's practice location on file with NPPES is 3410 E Centennial Pkwy Ste 110, North Las Vegas, NV 89081-5627.
- What is Shadow Creek Children'S Dentistry and Orthodontics General Partnership's phone number?
- The practice phone number listed in the NPPES registry for Shadow Creek Children'S Dentistry and Orthodontics General Partnership is (702) 701-2563.
- Who is the authorized official for Shadow Creek Children'S Dentistry and Orthodontics General Partnership?
- The authorized official listed on Shadow Creek Children'S Dentistry and Orthodontics General Partnership's NPPES record is Ryan Jolley, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadow Creek Children'S Dentistry and Orthodontics General Partnership's NPI active?
- Yes — Shadow Creek Children'S Dentistry and Orthodontics General Partnership's NPI (1063309755) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.