Healthcare Provider Details

I. General information

NPI: 1740583632
Provider Name (Legal Business Name): ROBERT M SVARNEY JR, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8084 W SAHARA AVE SUITE F
LAS VEGAS NV
89117-2073
US

IV. Provider business mailing address

11830 TEVARE LN SUITE 2061
LAS VEGAS NV
89138-4597
US

V. Phone/Fax

Practice location:
  • Phone: 702-823-3000
  • Fax:
Mailing address:
  • Phone: 702-540-4256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License NumberS287C
License Number StateNV

VIII. Authorized Official

Name: DR. ROBERT MARTIN SVARNEY JR.
Title or Position: PRESIDENT
Credential: DDS
Phone: 702-540-4256