Mark I Degen in Las Vegas - Oral And Maxillofacial Surgery

Mark I Degen - NPI 1215002225

Mark I Degen is a Oral And Maxillofacial Surgery in Las Vegas, Nevada. Mark I Degen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark I Degen is 1215002225. The last update date is 2008-05-22.

Mark I Degen's current location address is 4730 S Fort Apache Rd, Las Vegas, Nevada. You can contact this provider via phone number 7022539090 and fax number 7022539083. The mailing address for Mark I Degen is 4730 S Fort Apache Rd, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark I Degen
Address 4730 S Fort Apache Rd, Las Vegas, Nevada
Phone Number 7022539090
Fax Number 7022539083
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1215002225
Provider Enumeration Date 2006-11-22
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 4730 S Fort Apache Rd
City Las Vegas
State Nevada (NV)
Post Code 891477945
Phone Number 7022539090
Fax Number 7022539083

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 10535
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1598946261 NV GROUP NPI NUMBER
200078388 NV TAX ID

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FAQs about Mark I Degen

What is the Mark I Degen's 1215002225?

The Mark I Degen's NPI (National Provider Identifier) Number is 1215002225. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark I Degen is located?

The Mark I Degen is situated at the following address: 4730 S Fort Apache Rd, Las Vegas, NV, 891477945.

What is Mark I Degen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark I Degen is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

When was the Mark I Degen's 1215002225 issued?

The Mark I Degen's 1215002225 was issued on 2006-11-22.

As of what date were the details related to Mark I Degen most recently updated or revised?

The information pertaining to Mark I Degen, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-22.

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