| Miles For Smiles | |
|
2212 S Eastern Ave Las Vegas NV 89104-4124 | |
| (702) 220-9908 | |
| (702) 735-9335 |
| Full Name | Miles For Smiles |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2212 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Walter B Davis (CEO) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles For Smiles 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | Miles For Smiles 2212 S Eastern Ave Las Vegas NV 89104-4124 Ph: (702) 220-9908 |
| NPI Number | 1659499903 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659499903 | NPI | - | NPPES |
| 1659499903 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |
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