Dental Yellow Pages

Dental Yellow Pages

Dentists, Dental Clinics and Practices
Oral Surgery, Dental Specialists

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BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION

Dental Care Facilities

Las Vegas, Nevada

Provider NPI: 1487680815

Organization Information:
Organization Name:  BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION
Organization is Subpart
Authorized Official:  LAURIE ANN EVANS  DIRECTOR OF CLINICAL BUSINESS SVCS.  702-7742819

Practice Location:
1707 W. CHARLESTON BLVD. SUITE 210 LAS VEGAS, NV 89102 US
Tel: 702-671-5175  Fax: 702-474-9617

Business Mailing Address:
1001 SHADOW LANE MS 7413 LAS VEGAS, NV 89106 US
Tel: 702-774-2400  Fax: 702-774-2499

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental

Other Provider Identifiers:

IssuerNumberStateType
002202240NV05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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