Bryce D Leavitt in Henderson - Oral & Maxillofacial Surgery
Bryce D Leavitt - NPI 1093919417
Bryce D Leavitt is a Oral & Maxillofacial Surgery in Henderson, Nevada. Bryce D Leavitt practices all healthcare services and medical treatments related to Oral & 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 |
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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 |
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Provider Enumeration Date | 2007-06-11 |
Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
Address | 670 S Green Valley Pkwy #15 |
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City | Henderson |
State | Nevada (NV) |
Post Code | 89052 |
Phone Number | 7026853700 |
Fax Number | 7026853701 |
Provider's Primary Taxonomy Detail
Speciality | Oral & Maxillofacial Surgery |
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Taxonomy | 204E00000X |
Licence No | D12476 |
Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 & Maxillofacial Surgery, and the corresponding taxonomy code is 204E00000X.
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