Organization · Type 2 NPI

Board of Regents, Nevada System of Higher Education

Dental Clinic/Center · Las Vegas, NV

NPI number 1487680815 Active

Practice location

1707 W. Charleston Blvd., Suite 210
Las Vegas, NV 89102-2351

Call (702) 671-5175 Map

Fax (702) 474-9617

Mailing address

1001 Shadow Lane, Ms 7413
Las Vegas, NV 89106-4124

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Amna IftikharStudent in an Organized Health Care Education/Training Program Las Vegas, NV NPI 1740127067
Muhammad Sher AliStudent in an Organized Health Care Education/Training Program Las Vegas, NV NPI 1710824602
Sarah RahmanStudent in an Organized Health Care Education/Training Program Las Vegas, NV NPI 1013854819

Other dental clinic/center providers in Las Vegas

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NPI record

NPI: 1487680815
Entity type: Organization (Type 2)
Issued: Jun 25, 2006
Last updated: Mar 28, 2014
Status: Active
Subpart: Yes of Board of Regents, NV System of Higher Education

Other names

<unavail>
Unlv General Practice Residency · other name

Authorized official

Mrs. Laurie Ann Evans, MBA
Director of Clinical Business Svcs.
(702) 774-2819

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487680815

Board of Regents, Nevada System of Higher Education's National Provider Identifier is 1487680815, issued on Jun 25, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 28, 2014.