MEDICARE: DR. JUSTIN T PERDICHIZZI 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	122300000X	Dentist	6340	NV

General Provider Information

NPI Number	:	1518309640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN T PERDICHIZZI DMD

Provider Business Mailing Address
First Line	:	2391 NORTH TENAYA WAY
Second Line	:	SUITE 206
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0458
Country	:	US
Telephone Number	:	702-228-7575
Fax Number	:	702-240-6373

Provider Business Practice Location Address
First Line	:	2391 NORTH TENAYA WAY
Second Line	:	SUITE 206
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0458
Country	:	US
Telephone Number	:	702-228-7575
Fax Number	:	702-240-6373

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

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	07/17/2013

Similar Medicare Providers

1619970621 — DR. BRADLEY SCOTT STRONG D.D.S.
Practice Location Address:

2931 N TENAYA WAY , STE 200
LAS VEGAS, NV
89128-0458

Practice Phone: 702-242-3800
Practice Fax: 702-242-9420

1689970576 — NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Practice Location Address:

2931 N TENAYA WAY STE 206
LAS VEGAS, NV
89128-0458

Practice Phone: 702-228-7575
Practice Fax: 702-240-6373

1093001802 — DR. MANOJ KUMAR SHARMA D.O.
Practice Location Address:

2931 N TENAYA WAY STE 206
LAS VEGAS, NV
89128-0458

Practice Phone: 702-291-8511
Practice Fax: 702-832-0693

1154694909 — DR CHERYL ANN BREWER PC
Practice Location Address:

2931 N TENAYA WAY STE 202
LAS VEGAS, NV
89128-0458

Practice Phone: 702-410-5822
Practice Fax: 702-485-5018

1457954604 — MANOJ K. SHARMA DO PLLC
Practice Location Address:

2931 N TENAYA WAY STE 206
LAS VEGAS, NV
89128-0458

Practice Phone: 702-291-8511
Practice Fax: 702-832-0693

1225759764 — REVIVE INJURY & WELLNESS
Practice Location Address:

2931 N TENAYA WAY STE 204
LAS VEGAS, NV
89128-0458

Practice Phone: 725-216-7859
Practice Fax: 725-216-7859

Directions to “ DR. JUSTIN T PERDICHIZZI 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.