Trylovich, Gifford, Ltd. in Las Vegas - Periodontics
Trylovich, Gifford, Ltd. - NPI 1619028800
Trylovich, Gifford, Ltd. is a Periodontics in Las Vegas, Nevada. Trylovich, Gifford, Ltd. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Trylovich, Gifford, Ltd. is 1619028800. The last update date is 2014-07-10.
Trylovich, Gifford, Ltd.'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 Trylovich, Gifford, Ltd. is 3811 W Charleston Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trylovich, Gifford, Ltd. |
|---|---|
| Address | 3811 W Charleston Blvd, Las Vegas, Nevada |
| Phone Number | 7022591943 |
| Fax Number | 7028772727 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Trylovich James David |
| Credentials | D.D.S., M. |
| Telephone Number | 7022591943 |
NPI Number Detail
| NPI Number | 1619028800 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2014-07-10 |
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 | 5103 |
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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 identification code assigned to Trylovich, Gifford, Ltd. by the Centers for Medicare & Medicaid Services?
The Trylovich, Gifford, Ltd. has been issued the NPI (National Provider Identifier) 1619028800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Trylovich, Gifford, Ltd.'s facilities are situated?
The facilities of Trylovich, Gifford, Ltd. are physically located at the following address: 3811 W Charleston Blvd, Las Vegas, NV, 891021846.
What is Trylovich, Gifford, Ltd.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Trylovich, Gifford, Ltd. is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Trylovich, Gifford, Ltd. receive its 1619028800 assignment from the Centers for Medicare & Medicaid Services?
The Trylovich, Gifford, Ltd. was assigned its 1619028800 by the Centers for Medicare & Medicaid Services on 2007-01-15.
As of what date were the Trylovich, Gifford, Ltd.'s details last updated?
The information pertaining to the Trylovich, Gifford, Ltd., including its address, specialty, and other details, was most recently updated on 2014-07-10.