OrganizationActive
Waggoner Professional Services PC
NPI 1295259760 · Pediatric Dentistry · Las Vegas, NV
Waggoner Professional Services PC is a Pediatric Dentistry organization in Las Vegas, NV (NPI 1295259760).
Provider details
- NPI number
- 1295259760
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Antuna, Practice Manager(702) 254-4220
- License
- S6-17
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
9575 W Tropicana Ave Ste 5
Las Vegas, NV 89147-8491
Phone: (702) 633-8331
Street-level locationGet directions
Mailing address
9575 W Tropicana Ave Ste 5
Las Vegas, NV 89147-8491
Other names (DBA / former)
- Doing business as
- Galaxy Smiles
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2022-07-21
Frequently asked questions
- What is Waggoner Professional Services PC's NPI number?
- Waggoner Professional Services PC's National Provider Identifier (NPI) is 1295259760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waggoner Professional Services PC?
- Waggoner Professional Services PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Waggoner Professional Services PC located?
- Waggoner Professional Services PC's practice location on file with NPPES is 9575 W Tropicana Ave Ste 5, Las Vegas, NV 89147-8491.
- What is Waggoner Professional Services PC's phone number?
- The practice phone number listed in the NPPES registry for Waggoner Professional Services PC is (702) 633-8331.
- Who is the authorized official for Waggoner Professional Services PC?
- The authorized official listed on Waggoner Professional Services PC's NPPES record is Lisa Antuna, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waggoner Professional Services PC's NPI active?
- Yes — Waggoner Professional Services PC's NPI (1295259760) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.