MEDICARE: STEVEN C GARHARDT 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	3184	NV

General Provider Information

NPI Number	:	1841308665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C GARHARDT DDS

Provider Business Mailing Address
First Line	:	3663 E SUNSET ROAD
Second Line	:	SUITE 505
City	:	LAS VEGAS
State	:	NV
Zip	:	89120
Country	:	US
Telephone Number	:	702-944-7000
Fax Number	:	702-944-7005

Provider Business Practice Location Address
First Line	:	3663 E SUNSET ROAD
Second Line	:	SUITE 505
City	:	LAS VEGAS
State	:	NV
Zip	:	89120
Country	:	US
Telephone Number	:	702-944-7000
Fax Number	:	702-944-7005

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

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