| Advance Oral And Maxillofacial Surgery A Professional Corporation | |
|
1570 S Rainbow Blvd Las Vegas NV 89146-2956 | |
| (702) 258-0085 | |
| Not Available |
| Full Name | Advance Oral And Maxillofacial Surgery A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1570 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Steven A. Saxe (PRESIDENT) |
| Authorized Official Contact | 7022580085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Oral And Maxillofacial Surgery A Professional Corporation 1570 S Rainbow Blvd Las Vegas NV 89146-2956 Ph: (702) 258-0085 | Advance Oral And Maxillofacial Surgery A Professional Corporation 1570 S Rainbow Blvd Las Vegas NV 89146-2956 Ph: (702) 258-0085 |
| NPI Number | 1689638538 |
|---|---|
| Provider Enumeration Date | 04/16/2006 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 4486730629 |
|---|---|
| Medicare Enrollment ID | O20080327000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689638538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | S220 (Nevada) | Primary |
| Provider Name | Steven A Saxe |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437320926 PECOS PAC ID: 3476639824 Enrollment ID: I20080325000615 |
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