# BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
- **Other names:** UNLV Pediatric Community Outreach
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851699516
- **Legal business name:** BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
- **Authorized official:** MRS. LAURIE ANN EVANS MBA (DIRECTOR OF CLINICAL SVCS.)
- **Authorized official phone:** (207) 774-2819

## Contact information

- **Practice address:** 1700 W. CHARLESTON BLVD., BUILDING A, LAS VEGAS, NV 89102-2351
- **Practice address phone:** (702) 774-2545
- **Practice address fax:** (702) 774-2499
- **Mailing address:** 1001 SHADOW LN, MS 7413, LAS VEGAS, NV 89106-4124
- **Mailing address phone:** (702) 774-2400
- **Mailing address fax:** (702) 774-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2011
- **Last updated:** 03/27/2014