MEDICARE: MATTHEW PEERS DMD

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	5756	NV

General Provider Information

NPI Number	:	1932361417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW PEERS DMD

Provider Business Mailing Address
First Line	:	3073 W CRAIG RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-5122
Country	:	US
Telephone Number	:	702-636-8760
Fax Number	:

Provider Business Practice Location Address
First Line	:	3073 W CRAIG RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-5122
Country	:	US
Telephone Number	:	702-636-8760
Fax Number	:

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

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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Directions to “ MATTHEW PEERS DMD” Practice Location

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