MEDICARE: W SCOTT BIGGS DDS, LTD

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	1223E0200X	Endodontics	S763	NV

General Provider Information

NPI Number	:	1225359318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	W SCOTT BIGGS DDS, LTD

Provider Business Mailing Address
First Line	:	8754 ABBEY RIDGE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4006
Country	:	US
Telephone Number	:	702-274-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 W WARM SPRINGS RD
Second Line	:	SUITE 125
City	:	HENDERSON
State	:	NV
Zip	:	89014-7635
Country	:	US
Telephone Number	:	702-274-4100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILFORD SCOTT BIGGS
Credential	:	DDS
Telephone Number	:	702-274-4100

Provider Enumeration Date	:	06/12/2010
Last Update Date	:	06/12/2010

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