MEDICARE: DR. ROBERTO G BATTAGLIN D.M.D.

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	5125	NV
2	1223G0001X	General Practice Dentistry	5125	NV

General Provider Information

NPI Number	:	1750432761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO G BATTAGLIN D.M.D.

Provider Business Mailing Address
First Line	:	270 RUSTIC CLUB WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5201
Country	:	US
Telephone Number	:	702-624-2569
Fax Number	:

Provider Business Practice Location Address
First Line	:	7720 W SAHARA AVE STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2754
Country	:	US
Telephone Number	:	702-862-4088
Fax Number	:

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	09/06/2024

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