| Tom Godfrey Dmd Pllc | |
|
4818 W Lone Mountain Rd Las Vegas NV 89130-2239 | |
| (702) 655-9533 | |
| (702) 655-9565 |
| Full Name | Tom Godfrey Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4818 W Lone Mountain Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Thomas Godfrey (DOCTOR) |
| Authorized Official Contact | 7026559533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Godfrey Dmd Pllc 4818 W Lone Mountain Rd Las Vegas NV 89130-2239 Ph: (702) 655-9533 | Tom Godfrey Dmd Pllc 4818 W Lone Mountain Rd Las Vegas NV 89130-2239 Ph: (702) 655-9533 |
| NPI Number | 1336800697 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336800697 | NPI | - | NPPES |
| 6936 | Other | NV | 1063844710 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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