MEDICARE: VERNON BARRUGA 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
1	122300000X	Dentist	3496	NV
2	122300000X	Dentist	D010079	AZ

General Provider Information

NPI Number	:	1730200874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNON BARRUGA DDS

Provider Business Mailing Address
First Line	:	2560 MONTESSOURI ST STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3063
Country	:	US
Telephone Number	:	702-822-1008
Fax Number	:	702-822-1016

Provider Business Practice Location Address
First Line	:	2560 MONTESSOURI ST STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3063
Country	:	US
Telephone Number	:	702-822-1008
Fax Number	:	702-822-1016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/17/2025

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Directions to “ VERNON BARRUGA DDS” Practice Location

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