University of Nevada, Las Vegas School of Dental Medicine – Student in an Organized Health Care Education/Training Program, NPI 1053414862

University of Nevada, Las Vegas School of Dental Medicine is a healthcare provider. based in Las vegas, Nevada. specializing in Student in an Organized Health Care Education/Training Program. The NPI Number for University of Nevada, Las Vegas School of Dental Medicine is 1053414862

Main info

Organization
Name
University of Nevada, Las Vegas School of Dental Medicine
NPI
1053414862
Phone
(702) 774-7108
Address
4505 S Maryland Pkwy Ste 1395
Authorized Official
MS. AMELIA YOLANDA MOLOCHE CREDENTIALING MANAGER DELEGATED OFFICIAL
Enumeration Date
7 September 2006
Last Update Date
9 April 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for University of Nevada, Las Vegas School of Dental Medicine

  • 4505 S Maryland Pkwy Ste 1395

    Las Vegas, NV 891549900

    Phone: (702) 774-7108

    Fax: (702) 774-2499

    Type: Location

  • 1700 W CHARLESTON BLVD BLDG A

    LAS VEGAS, NV 891022335

    Phone: (702) 774-2400

    Fax: (702) 774-2499

    Type: Location

  • 1001 SHADOW LN # MS 7413

    LAS VEGAS, NV 891064124

    Phone: (702) 774-2661

    Fax: (702) 774-2610

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89154)

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Reviews

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Frequently asked questions

What is University of Nevada, Las Vegas School of Dental Medicine's NPI number?
University of Nevada, Las Vegas School of Dental Medicine's NPI is 1053414862 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to University of Nevada, Las Vegas School of Dental Medicine?
You should see University of Nevada, Las Vegas School of Dental Medicine as active in CMS-hosted NPPES data.
What area of care is associated with University of Nevada, Las Vegas School of Dental Medicine?
University of Nevada, Las Vegas School of Dental Medicine's record emphasizes Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is University of Nevada, Las Vegas School of Dental Medicine associated with Las Vegas?
Public fields place University of Nevada, Las Vegas School of Dental Medicine around Las Vegas, Nevada. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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