OrganizationActive
The Dental Implant Source
NPI 1457496077 · Prosthodontics · Las Vegas, NV
Provider details
- NPI number
- 1457496077
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Lyle Brooksby, President(702) 367-4121
- License
- 2543 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8960 W Cheyenne Ave Unit 190
Las Vegas, NV 89129-8929
Phone: (702) 367-4121
Fax: (702) 367-4021
Street-level locationGet directions
Mailing address
8960 W Cheyenne Ave Unit 190
Las Vegas, NV 89129-8929
Other names (DBA / former)
- Doing business as
- Cheyenne Advanced Dental Arts
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.