# SOUTHERN NEVADA FAMILY DENTISTRY NASSAR PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Design Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376613331
- **Authorized official:** JAMES NASSAR DDS (SECRETARY)
- **Authorized official phone:** (702) 361-9611

## Contact information

- **Practice address:** 6115 S. FORT APACHE RD., SUITE 108, LAS VEGAS, NV 89148
- **Practice address phone:** (702) 309-9611
- **Practice address fax:** (702) 309-2220
- **Mailing address:** 6115 S. FORT APACHE RD., SUITE 108, LAS VEGAS, NV 89148
- **Mailing address phone:** (702) 309-9611
- **Mailing address fax:** (702) 309-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3524 | NULL | Yes |
| 1223G0001X | General Practice Dentistry | 3524 | — | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020