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1588963615

NPI Code Detail

MEDICARE: FUTURE SMILES

MEDICARE: FUTURE SMILES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	3419	NV
2	124Q00000X	Dental Hygienist	3636	NV
3	124Q00000X	Dental Hygienist	3626	NV
4	124Q00000X	Dental Hygienist	10099	NV
5	124Q00000X	Dental Hygienist	101718	NV
6	124Q00000X	Dental Hygienist	2713	NV
7	124Q00000X	Dental Hygienist	4380	NV
8	124Q00000X	Dental Hygienist	4447	NV
9	124Q00000X	Dental Hygienist	3646	NV
10	124Q00000X	Dental Hygienist	3420	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588963615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE SMILES

Provider Business Mailing Address
First Line	:	3074 ARVILLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7490
Country	:	US
Telephone Number	:	702-889-3763
Fax Number	:

Provider Business Practice Location Address
First Line	:	3074 ARVILLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7490
Country	:	US
Telephone Number	:	702-889-3763
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. MARY TERESA CHANDLER
Credential	:	RDH
Telephone Number	:	702-889-3763

Provider Enumeration Date	:	03/15/2011
Last Update Date	:	03/13/2012

Similar Medicare Providers

1548322191 — STEPHANIE L REDWINE RDH, BS
Practice Location Address:

3074 ARVILLE ST
LAS VEGAS, NV
89102-7490

Practice Phone: 702-889-3763
Practice Fax:

1841520574 — CHRISTINE A GARVEY RDH
Practice Location Address:

3074 ARVILLE ST , CLINC
LAS VEGAS, NV
89102-7490

Practice Phone: 702-889-3763
Practice Fax:

1245561133 — MRS. MARY TERESA CHANDLER RDH
Practice Location Address:

3074 ARVILLE ST
LAS VEGAS, NV
89102-7490

Practice Phone: 702-521-4550
Practice Fax:

1891090841 — CATHERINE CARREIRO RDH
Practice Location Address:

3074 ARVILLE ST
LAS VEGAS, NV
89102-7490

Practice Phone: 702-889-3591
Practice Fax:

1013216340 — MS. SUSAN E LEGRAND RDH
Practice Location Address:

3074 ARVILLE ST
LAS VEGAS, NV
89102-7490

Practice Phone: 702-889-3763
Practice Fax:

1124319181 — KELLY J TAYLOR RDH
Practice Location Address:

3074 ARVILLE ST
LAS VEGAS, NV
89102-7490

Practice Phone: 702-889-3763
Practice Fax: 702-889-3591

Directions to “FUTURE SMILES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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