Vivi Van Mcintosh in North Las Vegas - General Practice

Vivi Van Mcintosh - NPI 1124238662

Vivi Van Mcintosh is a General Practice in North Las Vegas, Nevada. Vivi Van Mcintosh practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vivi Van Mcintosh is 1124238662. The last update date is 2016-06-14.

Vivi Van Mcintosh's current location address is 2217 E Lake Mead Blvd, North Las Vegas, Nevada. You can contact this provider via phone number 7026415888 and fax number 7026330099. The mailing address for Vivi Van Mcintosh is 2217 E Lake Mead Blvd, North Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivi Van Mcintosh
Address 2217 E Lake Mead Blvd, North Las Vegas, Nevada
Phone Number 7026415888
Fax Number 7026330099
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1124238662
Provider Enumeration Date 2007-05-23
Last Updated Date 2016-06-14

Provider Mailing Address Detail

Address 2217 E Lake Mead Blvd
City North Las Vegas
State Nevada (NV)
Post Code 890307137
Phone Number 7026415888
Fax Number 7026330099

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3716
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1124238662 NV --

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FAQs about Vivi Van Mcintosh

What is the Vivi Van Mcintosh's 1124238662?

The Vivi Van Mcintosh's NPI (National Provider Identifier) Number is 1124238662. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Vivi Van Mcintosh?

The Vivi Van Mcintosh is situated at 2217 E Lake Mead Blvd, in the city of North Las Vegas, state of NV, with the zip code 890307137.

What is Vivi Van Mcintosh's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vivi Van Mcintosh's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Vivi Van Mcintosh receive its 1124238662 assignment from the Centers for Medicare & Medicaid Services?

The Vivi Van Mcintosh was assigned its 1124238662 by the Centers for Medicare & Medicaid Services on 2007-05-23.

When was the information related to Vivi Van Mcintosh most recently updated or refreshed?

The details pertaining to the Vivi Van Mcintosh, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-14.

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