MEDICARE: BRYAN TSANG DDS

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	1001661	WI
2	122300000X	Dentist	7781	NV

General Provider Information

NPI Number	:	1356866974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN TSANG DDS

Provider Business Mailing Address
First Line	:	9450 W HACIENDA AVE UNIT 460
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7731
Country	:	US
Telephone Number	:	510-857-6886
Fax Number	:

Provider Business Practice Location Address
First Line	:	8402 W WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3624
Country	:	US
Telephone Number	:	702-879-9043
Fax Number	:

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

Provider Enumeration Date	:	08/04/2017
Last Update Date	:	06/17/2025

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Directions to “ BRYAN TSANG DDS” Practice Location

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