| Thrive Dental Group Inc. | |
|
7312 W Cheyenne Ave Ste 4 Las Vegas NV 89129-7425 | |
| (702) 877-9977 | |
| (702) 899-5501 |
| Full Name | Thrive Dental Group Inc. |
|---|---|
| Speciality | Dentist |
| Location | 7312 W Cheyenne Ave Ste 4, Las Vegas, Nevada |
| Authorized Official Name and Position | Gilberto Suarez (OWNER) |
| Authorized Official Contact | 7028779977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Dental Group Inc. 7312 W Cheyenne Ave Ste 4 Las Vegas NV 89129-7425 Ph: (702) 480-8187 | Thrive Dental Group Inc. 7312 W Cheyenne Ave Ste 4 Las Vegas NV 89129-7425 Ph: (702) 877-9977 |
| NPI Number | 1003198417 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 2466887112 |
|---|---|
| Medicare Enrollment ID | O20200127001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003198417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Gilberto Suarez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619992674 PECOS PAC ID: 4082839170 Enrollment ID: I20160113003119 |
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