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General NPI Number Information
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NPI Number | 1255534509
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Entity Type | Organization
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Legal Business Name | MICHAEL P. WEBBERSON DDS LTD
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5590 PAINTED MIRAGE RD SUITE 150
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City | LAS VEGAS
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State | NV
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Zip | 89149-4579
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Country | US
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Telephone | 702-658-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 8824 REINING SPUR AVE
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City | LAS VEGAS
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State | NV
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Zip | 89143-1129
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Country | US
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Telephone | 702-658-8008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL PAUL WEBBERSON
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Credential | DDS
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Telephone | 702-658-8008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4342
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License Number State | NV
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