Individual provider · Type 1 NPI

Milad Gheisari, DDS

General Practice Dentistry · Kirtland Afb, NM

NPI number 1629851159 Active

Practice location

2050A 2nd St SE
Kirtland Afb, NM 87117-6600

Mailing address

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7895 (NV)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1629851159

Milad Gheisari, DDS's National Provider Identifier is 1629851159, issued on Aug 17, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kirtland Afb, NM. The record was last updated on May 8, 2025.