IndividualActive
Milad Gheisari, DDS
NPI 1629851159 · General Practice Dentistry · Kirtland Afb, NM
Provider details
- NPI number
- 1629851159
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 7895 (NV)
Specialties & taxonomies
Dental Providers
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-6600
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.