| Unlv Faculty Dental Practice | |
|
1700 W. Charleston Blvd. Building D Las Vegas NV 89102-2351 | |
| (702) 774-8000 | |
| (702) 774-2499 |
| Full Name | Unlv Faculty Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 W. Charleston Blvd., Las Vegas, Nevada |
| Authorized Official Name and Position | Laurie Ann Evans (DIRECTOR OF CLINICAL BUSINESS SVCS.) |
| Authorized Official Contact | 7027742819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlv Faculty Dental Practice 1001 Shadow Lane Ms 7413 Las Vegas NV 89106-4124 Ph: (702) 774-2400 | Unlv Faculty Dental Practice 1700 W. Charleston Blvd. Building D Las Vegas NV 89102-2351 Ph: (702) 774-8000 |
| NPI Number | 1427151240 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427151240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4293 (Nevada) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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