MEDICARE: NICOLE IGRAS 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	8069	NV

General Provider Information

NPI Number	:	1558107888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE IGRAS DMD

Provider Business Mailing Address
First Line	:	5417 PAINTED SUNRISE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-6446
Country	:	US
Telephone Number	:	814-460-3311
Fax Number	:

Provider Business Practice Location Address
First Line	:	4372 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3765
Country	:	US
Telephone Number	:	702-325-7552
Fax Number	:

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

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	01/05/2026

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Directions to “ NICOLE IGRAS DMD” Practice Location

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