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NPI Code Detail

MEDICARE: DR. RICHARD BENJAMIN WEBSTER DDS, MS

MEDICARE:  DR. RICHARD BENJAMIN WEBSTER  DDS, MS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry5932NV
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry55589CA
31223X0400XOrthodontics and Dentofacial Orthopedics DentistryS3-198NV

General Provider Information

NPI Number : 1770797672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BENJAMIN WEBSTER DDS, MS
Provider Business Mailing Address
First Line : 7603 GRAND TETON DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-1602
Country : US
Telephone Number : 702-403-5822
Fax Number : 702-405-6366
Provider Business Practice Location Address
First Line : 7603 GRAND TETON DR STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-1602
Country : US
Telephone Number : 702-403-5822
Fax Number : 702-405-6366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/01/2021

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Directions to “ DR. RICHARD BENJAMIN WEBSTER DDS, MS” Practice Location

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