MEDICARE: DR. POUYA PARTOVI DDS, 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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	7351	NV

General Provider Information

NPI Number	:	1568801231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. POUYA PARTOVI DDS, MD

Provider Business Mailing Address
First Line	:	3896 N MLK BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-6603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3896 N MLK BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-6603
Country	:	US
Telephone Number	:	415-476-8221
Fax Number	:

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

Provider Enumeration Date	:	06/17/2013
Last Update Date	:	07/19/2020

Similar Medicare Providers

1417014762 — DR. MICHAEL H ROWE DDS
Practice Location Address:

3896 N MARTIN L KING BLVD
NORTH LAS VEGAS, NV
89032-6603

Practice Phone: 702-614-1792
Practice Fax: 702-933-0190

1225207251 — JAREN TOLMAN JENSEN DDS
Practice Location Address:

3896 N MARTIN L KING BLVD
NORTH LAS VEGAS, NV
89032-6603

Practice Phone: 702-614-1792
Practice Fax:

1497091367 — SAMIRA FAROKH D.M.D
Practice Location Address:

3896 N MLK BLVD
NORTH LAS VEGAS, NV
89032-6603

Practice Phone: 702-395-5437
Practice Fax: 702-933-0190

1649602152 — DR. SHANNON KELLY LEE D.M.D.
Practice Location Address:

3896 N MLK BLVD
NORTH LAS VEGAS, NV
89032-6603

Practice Phone: 702-614-1792
Practice Fax: 702-933-0190

1952497984 — LEE MLK DENTAL GROUP, PC
Practice Location Address:

3896 N MARTIN LUTHER KING BLVD
N LAS VEGAS, NV
89032-6603

Practice Phone: 702-614-1792
Practice Fax: 702-933-0190

1730587007 — SUSAN OLSON D.M.D
Practice Location Address:

3896 N MARTIN L KING BLVD
N LAS VEGAS, NV
89032-6603

Practice Phone: 702-614-1792
Practice Fax:

Directions to “ DR. POUYA PARTOVI DDS, MD” 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.