MEDICARE: DR. THOMAS LIN HSIEH D.D.S

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	7940	NV

General Provider Information

NPI Number	:	1194176537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS LIN HSIEH D.D.S

Provider Business Mailing Address
First Line	:	9375 S RAINBOW BLVD STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7279
Country	:	US
Telephone Number	:	702-760-4266
Fax Number	:	702-760-3944

Provider Business Practice Location Address
First Line	:	9375 S RAINBOW BLVD STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7279
Country	:	US
Telephone Number	:	702-760-4266
Fax Number	:	702-760-3944

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

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	03/06/2026

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