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NPI Code Detail

MEDICARE: DR. BRIAN LEE NAYLOR DDS

MEDICARE: DR. BRIAN LEE NAYLOR DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7070NV

General Provider Information

NPI Number : 1700316999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN LEE NAYLOR DDS
Provider Business Mailing Address
First Line : 1080 WINCHUCK RIVER RD
Second Line :
City : BROOKINGS
State : OR
Zip : 97415-9384
Country : US
Telephone Number : 541-813-1358
Fax Number : 541-813-1358
Provider Business Practice Location Address
First Line : 5785 CENTENNIAL CENTER BLVD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-7110
Country : US
Telephone Number : 702-395-0366
Fax Number : 702-645-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 03/06/2024

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Directions to “ DR. BRIAN LEE NAYLOR DDS” Practice Location

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