MEDICARE: DR. MARGARET VIVIAN DENTON MD

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	207R00000X	Internal Medicine Physician	14708	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	110162385	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1932187044	OTHER	NM	KYMERA GROUP NPI
2	Z2565	OTHER	NM	KYMERA GROUP MCD
3	87726	OTHER		UNITED HEALTHCARE
4	800521089	OTHER	NM	KYMERA GROUP MCR
6	34732	OTHER	NM	PRESBYTERIAN
7	NM011928	OTHER	NM	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447251756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET VIVIAN DENTON MD

Provider Business Mailing Address
First Line	:	780 KUENZLI ST
Second Line	:	SUITE 202
City	:	RENO
State	:	NV
Zip	:	89502-0845
Country	:	US
Telephone Number	:	775-982-4590
Fax Number	:	775-982-4595

Provider Business Practice Location Address
First Line	:	560 E WILLIAMS AVE
Second Line	:
City	:	FALLON
State	:	NV
Zip	:	89406-3031
Country	:	US
Telephone Number	:	775-982-5000
Fax Number	:	775-982-2988

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/09/2018

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Directions to “ DR. MARGARET VIVIAN DENTON MD” Practice Location

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