NPI 1174366025

Jaeron L Beverly

Practitioner Dental Hygienist Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 383-2000

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

Other Dental Hygienist providers in Nevada →

Registry record

NPI: 1174366025
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2024
Record last updated: 18 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.