David James Trylovich in Las Vegas - Periodontics
David James Trylovich - NPI 1396906863
David James Trylovich is a Periodontics in Las Vegas, Nevada. David James Trylovich practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David James Trylovich is 1396906863. The last update date is 2008-06-18.
David James Trylovich's current location address is 3811 W Charleston Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7022591943 and fax number 7028772727. The mailing address for David James Trylovich is 3811 W Charleston Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David James Trylovich |
|---|---|
| Address | 3811 W Charleston Blvd, Las Vegas, Nevada |
| Phone Number | 7022591943 |
| Fax Number | 7028772727 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1396906863 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 3811 W Charleston Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891021846 |
| Phone Number | 7022591943 |
| Fax Number | 7028772727 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2707/S4-14 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to David James Trylovich by the Centers for Medicare & Medicaid Services?
The David James Trylovich has been assigned the NPI (National Provider Identifier) 1396906863 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where David James Trylovich is physically located?
The David James Trylovich is physically situated at the following address: 3811 W Charleston Blvd, Las Vegas, NV, 891021846.
What is David James Trylovich's specialized field of practice, and what is the corresponding taxonomy classification code?
The David James Trylovich's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the David James Trylovich receive the assignment of its 1396906863 from the Centers for Medicare & Medicaid Services?
The David James Trylovich was issued its 1396906863 by the Centers for Medicare & Medicaid Services on 2008-06-18.
When was the David James Trylovich's information last updated?
The David James Trylovich's information was last updated on 2008-06-18.
NPI Number: 1447253653
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