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NPI Code Detail

MEDICARE: CHAD N GUBLER DDS CASINO DIRECT LTD

MEDICARE: CHAD N GUBLER DDS CASINO DIRECT 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
1332B00000XDurable Medical Equipment & Medical Supplies
2332BC3200XCustomized Equipment (DME)
3122300000XDentist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548084759
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAD N GUBLER DDS CASINO DIRECT LTD
Provider Business Mailing Address
First Line : 1701 W CHARLESTON BLVD STE 500
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2309
Country : US
Telephone Number : 702-322-2200
Fax Number : 702-330-5781
Provider Business Practice Location Address
First Line : 2560 MONTESSOURI ST STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3063
Country : US
Telephone Number : 702-362-9353
Fax Number : 702-761-4545
Authorized Official
Title or Position : OWNER DOCTOR
Name : DR. CHAD N GUBLER
Credential : DDS
Telephone Number : 702-349-6350
Provider Enumeration Date : 11/13/2024
Last Update Date : 01/29/2025

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Directions to “CHAD N GUBLER DDS CASINO DIRECT LTD ” Practice Location

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