Bryce D Leavitt in Henderson - Oral And Maxillofacial Surgery
Bryce D Leavitt - NPI 1093919417
Bryce D Leavitt is a Oral And Maxillofacial Surgery in Henderson, Nevada. Bryce D Leavitt practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bryce D Leavitt is 1093919417. The last update date is 2020-03-19.
Bryce D Leavitt's current location address is 670 S Green Valley Pkwy #15, Henderson, Nevada. You can contact this provider via phone number 7026853700 and fax number 7026853701. The mailing address for Bryce D Leavitt is 670 S Green Valley Pkwy #15, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryce D Leavitt |
|---|---|
| Address | 670 S Green Valley Pkwy #15, Henderson, Nevada |
| Phone Number | 7026853700 |
| Fax Number | 7026853701 |
| Sole Proprietor | Y |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1093919417 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
| Address | 670 S Green Valley Pkwy #15 |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 89052 |
| Phone Number | 7026853700 |
| Fax Number | 7026853701 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | SZ-127 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 884127000 | MN | -- | |
| 33826800 | WI | -- | |
| ENROLLED | MN | -- |
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What is the Bryce D Leavitt's unique identification number?
The Bryce D Leavitt has been assigned the NPI (National Provider Identifier) Number 1093919417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Bryce D Leavitt located?
The Bryce D Leavitt is located at 670 S Green Valley Pkwy #15, Henderson, NV 89052.
What is the Bryce D Leavitt's specialty and taxonomy code?
The Bryce D Leavitt's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
When did Bryce D Leavitt receive its 1093919417 assignment?
The Bryce D Leavitt was assigned its 1093919417 on 2007-06-11, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bryce D Leavitt most recently updated or revised?
The details related to Bryce D Leavitt, including its address, specialty, and other relevant information, were last updated or revised on 2020-03-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC