institution
Tom Godfrey Dmd Pllc
Dental Clinic/Center in Las Vegas, Nevada
NPI 1336800697

Tom Godfrey Dmd Pllc is a Dental Clinic/Center based in Las Vegas, NV and is specialized in Dental. Tom Godfrey Dmd Pllc practices in Las Vegas, NV. The NPI Number for Tom Godfrey Dmd Pllc is 1336800697 and holds a License No. (Nevada).

The current practice location address for Tom Godfrey Dmd Pllc is 4818 W Lone Mountain Rd, Las Vegas, NV and can be reached out via phone at 702-655-9533 and via fax at 702-655-9565. You can also correspond with Tom Godfrey Dmd Pllc through the mailing address at 4818 W LONE MOUNTAIN RD, LAS VEGAS, NV - 89130-2239 (mailing address contact number: 702-655-9533).

Location: 4818 W Lone Mountain Rd, Las Vegas, NV, 89130-2239
institution
Provider Profile Details
NPI Number
1336800697
Provider Name
Tom Godfrey Dmd Pllc
Credential
Provider Entity Type
Organization
Address
4818 W Lone Mountain Rd, Las Vegas, NV, 89130-2239
Phone Number
702-655-9533
Fax Number
702-655-9565
Provider Enumeration Date
01/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6936 01 NV 1063844710
institution
Provider Business Practice Location Address Details
Address
4818 W Lone Mountain Rd
City
State
Zip
89130-2239
Phone Number
702-655-9533
Fax Number
702-655-9565
person
Provider Business Mailing Address Details
Address
4818 W Lone Mountain Rd
City
State
Zip
89130-2239
Phone Number
702-655-9533
Fax Number
702-655-9565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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