Provider Demographics
NPI:1790017382
Name:COMMUNITIES IN SCHOOLS OF NEVAD
Entity Type:Organization
Organization Name:COMMUNITIES IN SCHOOLS OF NEVAD
Other - Org Name:FUTURE SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-590-5330
Mailing Address - Street 1:3720 HOWARD HUGHES PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-0937
Mailing Address - Country:US
Mailing Address - Phone:702-770-7611
Mailing Address - Fax:815-550-1534
Practice Address - Street 1:4145 JIMMY DURANTE BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-5431
Practice Address - Country:US
Practice Address - Phone:702-855-9675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty