MEDICARE: DANIEL BARCIA DDS

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	1223G0001X	General Practice Dentistry	4836T	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1619900552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL BARCIA DDS

Provider Business Mailing Address
First Line	:	526 S TONOPAH DR
Second Line	:	STE. 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4043
Country	:	US
Telephone Number	:	702-291-2031
Fax Number	:	702-366-1483

Provider Business Practice Location Address
First Line	:	6490 S MCCARRAN BLVD
Second Line	:	STE. 17 AND 18
City	:	RENO
State	:	NV
Zip	:	89509-6165
Country	:	US
Telephone Number	:	775-787-8900
Fax Number	:	775-829-8901

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/31/2016

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Directions to “ DANIEL BARCIA DDS” Practice Location

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