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NPI Code Detail

MEDICARE: DR. ROBERT CYRUS BINGAMAN DMD

MEDICARE: DR. ROBERT CYRUS BINGAMAN 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
1122300000XDentist7648NV

General Provider Information

NPI Number : 1548996424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CYRUS BINGAMAN DMD
Provider Business Mailing Address
First Line : 3704 VANISHING POINT ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6422
Country : US
Telephone Number : 717-329-2596
Fax Number :
Provider Business Practice Location Address
First Line : 6525 N DECATUR BLVD STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2993
Country : US
Telephone Number : 702-577-1941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2022
Last Update Date : 07/25/2022

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Directions to “ DR. ROBERT CYRUS BINGAMAN DMD” Practice Location

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