Healthcare Provider Details

I. General information

NPI: 1861759292
Provider Name (Legal Business Name): NV ORAL SURGERY, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 BARING BLVD
SPARKS NV
89434-1500
US

IV. Provider business mailing address

730 BARING BLVD
SPARKS NV
89434-1500
US

V. Phone/Fax

Practice location:
  • Phone: 775-359-3322
  • Fax: 775-359-1925
Mailing address:
  • Phone: 775-359-3322
  • Fax: 775-359-1925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberS2-32
License Number StateNV

VIII. Authorized Official

Name: DR. TROY D. SAVANT
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 775-359-3322