MEDICARE: DR. GILBERTO SUAREZ JR. 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	122300000X	Dentist	2866	NV

General Provider Information

NPI Number	:	1619992674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERTO SUAREZ JR. DDS

Provider Business Mailing Address
First Line	:	7312 W CHEYENNE AVE STE 4
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	702-877-9977
Fax Number	:	702-899-5501

Provider Business Practice Location Address
First Line	:	7312 W CHEYENNE AVE STE 4
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7425
Country	:	US
Telephone Number	:	702-877-9977
Fax Number	:	702-899-5501

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	04/27/2023

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