MEDICARE: DR. KAZUMI FUNAMOTO DMD

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	1223G0001X	General Practice Dentistry	4882	NV
2	122300000X	Dentist	4882	NV

General Provider Information

NPI Number	:	1154464683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAZUMI FUNAMOTO DMD

Provider Business Mailing Address
First Line	:	7720 W SAHARA AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2754
Country	:	US
Telephone Number	:	702-242-4680
Fax Number	:	702-304-9996

Provider Business Practice Location Address
First Line	:	7720 W SAHARA AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2754
Country	:	US
Telephone Number	:	702-242-4680
Fax Number	:	702-304-9996

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/27/2014

Similar Medicare Providers

1619907508 — DR. MARK KEYAN TADRISSI D.D.S.
Practice Location Address:

7720 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2754

Practice Phone: 702-862-4088
Practice Fax:

1750432761 — DR. ROBERTO G BATTAGLIN D.M.D.
Practice Location Address:

7720 W SAHARA AVE STE 107
LAS VEGAS, NV
89117-2754

Practice Phone: 702-862-4088
Practice Fax:

1346383932 — DR. SIMON SHIH DMD
Practice Location Address:

7720 W SAHARA AVE STE 110
LAS VEGAS, NV
89117-2754

Practice Phone: 702-242-4680
Practice Fax: 702-304-9996

1619010303 — LISA BENNETT D.C.
Practice Location Address:

7720 W SAHARA AVE STE 104
LAS VEGAS, NV
89117-2754

Practice Phone: 702-240-0500
Practice Fax:

1982885513 — SENIALITA SANTOS ABARQUEZ APRN
Practice Location Address:

7720 W SAHARA AVE STE 103
LAS VEGAS, NV
89117-2754

Practice Phone: 702-228-9888
Practice Fax: 866-920-0799

1245416338 — LISA M BENNETT , D.C, P.C.
Practice Location Address:

7720 W SAHARA AVE STE 104
LAS VEGAS, NV
89117-2754

Practice Phone: 702-240-0500
Practice Fax: 702-240-0309

Directions to “ DR. KAZUMI FUNAMOTO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.