OrganizationActive
Alta Oral Surgery, LLC
NPI 1821323205 · Oral and Maxillofacial Surgery (Dentist) · Las Vegas, NV
Provider details
- NPI number
- 1821323205
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Benny Kohanteb, Owner(702) 435-5015
- License
- 4509 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
526 S Tonopah Dr
#200
Las Vegas, NV 89106-4043
Phone: (702) 435-5015
Fax: (702) 366-1483
Street-level locationGet directions
Mailing address
526 S Tonopah Dr
Las Vegas, NV 89106-4043
Registry dates
- Enumerated
- 2009-10-02
- Last updated
- 2009-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.