Michael Ray Wanlass in Las Vegas - General Practice
Michael Ray Wanlass - NPI 1912114935
Michael Ray Wanlass is a General Practice in Las Vegas, Nevada. Michael Ray Wanlass practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Ray Wanlass is 1912114935. The last update date is 2007-07-08.
Michael Ray Wanlass's current location address is 2625 S Rainbow Blvd Ste C100, Las Vegas, Nevada. You can contact this provider via phone number 7023674412 and fax number 7023674883. The mailing address for Michael Ray Wanlass is 2625 S Rainbow Blvd Ste C100, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ray Wanlass |
|---|---|
| Address | 2625 S Rainbow Blvd Ste C100, Las Vegas, Nevada |
| Phone Number | 7023674412 |
| Fax Number | 7023674883 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1912114935 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2625 S Rainbow Blvd Ste C100 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891465181 |
| Phone Number | 7023674412 |
| Fax Number | 7023674883 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2287 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Michael Ray Wanlass by the Centers for Medicare & Medicaid Services?
The Michael Ray Wanlass has been issued the NPI (National Provider Identifier) 1912114935. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Ray Wanlass?
The Michael Ray Wanlass is physically situated at 2625 S Rainbow Blvd Ste C100, in the city of Las Vegas, state of NV, with the postal code 891465181.
What is the Michael Ray Wanlass's area of specialization and corresponding taxonomy classification?
The Michael Ray Wanlass's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Michael Ray Wanlass receive the assignment of its 1912114935 from the Centers for Medicare & Medicaid Services?
The Michael Ray Wanlass was issued its 1912114935 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the details related to Michael Ray Wanlass most recently updated or revised?
The information pertaining to Michael Ray Wanlass, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1972599439
Address: 1607 Dr Martin Luther King Jr St N, St Petersburg, FL