MEDICARE: DR. WILFORD SCOTT BIGGS D.D.S.

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	1223G0001X	General Practice Dentistry	21098	TX
2	1223G0001X	General Practice Dentistry	55598	CA
3	1223E0200X	Endodontics	S7-63	NV

General Provider Information

NPI Number	:	1801866819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILFORD SCOTT BIGGS D.D.S.

Provider Business Mailing Address
First Line	:	4450 N TENAYA WAY
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7135
Country	:	US
Telephone Number	:	702-463-5000
Fax Number	:	702-463-5858

Provider Business Practice Location Address
First Line	:	1489 W WARM SPRINGS RD
Second Line	:	SUITE 125
City	:	HENDERSON
State	:	NV
Zip	:	89014-7635
Country	:	US
Telephone Number	:	702-410-5200
Fax Number	:	702-227-8930

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	12/20/2010

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