OrganizationActive
Tender Dental Bonanaza, LLC
NPI 1124556741 · General Practice Dentistry · Las Vegas, NV
Provider details
- NPI number
- 1124556741
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Tender Dental Management, LLC
- Organization subpart
- Yes
- Authorized official
- Jong Um, President(860) 325-0022
- License
- 6883 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
5001 E Bonanza Rd Ste 160
Las Vegas, NV 89110-3560
Phone: (860) 325-0022
Street-level locationGet directions
Mailing address
301 Commons Park S Unit 618
Stamford, CT 06902-7088
Registry dates
- Enumerated
- 2017-05-25
- Last updated
- 2017-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.