MEDICARE: DR. MICHELLE R SCHIRO D.M.D.

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	6791	NV

General Provider Information

NPI Number	:	1023469467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE R SCHIRO D.M.D.

Provider Business Mailing Address
First Line	:	7175 W LAKE MEAD BLVD
Second Line	:	STE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1302
Country	:	US
Telephone Number	:	702-228-9911
Fax Number	:

Provider Business Practice Location Address
First Line	:	7175 W LAKE MEAD BLVD
Second Line	:	STE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1302
Country	:	US
Telephone Number	:	702-228-9911
Fax Number	:

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

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	06/27/2016

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Directions to “ DR. MICHELLE R SCHIRO D.M.D.” Practice Location

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