Organization
FUTURE SMILES
Active
Parent organization
FUTURE SMILES
Other names
Future Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUTURE SMILES
Authorized official
MRS. MARY TERESA CHANDLER RDH (EXECUTIVE DIRECTOR)
(702) 889-3763
Entity
Organization
Contact information
Practice address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
Mailing address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
10099
NV
124Q00000X
Dental Hygienist
101718
NV
124Q00000X
Dental Hygienist
2713
NV
124Q00000X
Dental Hygienist
3419
NV
124Q00000X
Dental Hygienist
Primary
3420
NV
124Q00000X
Dental Hygienist
3626
NV
124Q00000X
Dental Hygienist
3636
NV
124Q00000X
Dental Hygienist
3646
NV
124Q00000X
Dental Hygienist
4380
NV
124Q00000X
Dental Hygienist
4447
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013216340
—
NV
05
—
1083903017
—
NV
05
—
1124319181
—
NV
05
—
1245561133
—
NV
05
—
1265706022
—
NV
05
—
1437479565
—
NV
05
—
1548322191
—
NV
05
—
1780970871
—
NV
05
—
1841520574
—
NV
05
—
1891090841
—
NV
Enumeration date
03/15/2011
Last updated
03/13/2012
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