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MARK I DEGEN DDS MD LTD NPI 1598946261


NPI Information

NPI: 1598946261
Provider Name: MARK I DEGEN DDS MD LTD

Doing Business As: RED ROCK ORAL & MAXILLOFACIAL SURGERY CENTRE

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4730 S. FORT APACHE ROAD
STE 390
LAS VEGAS, NV
ZIP 89147
Phone: (702) 253-9090
Get Directions

MARK I DEGEN DDS MD LTD is an oral and maxillofacial surgery clinic center in Las Vegas, NV. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MARK I DEGEN DDS MD LTD NPI is 1598946261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Red Rock Oral & Maxillofacial Surgery Centre.

The provider's business location address is:

4730 S. FORT APACHE ROAD
STE 390
LAS VEGAS, NV
ZIP 89147
Phone: (702) 253-9090
Fax: (702) 253-9083

The provider's authorized official is Mark I Degen .
The authorized official title is President/owner and has the following contact phone number 70222539090.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 9/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery10535NEVADANo
2261QS0112XClinic/CenterOral and Maxillofacial Surgery10535NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137968MEDICARE UPINNEVADA
238085MEDICARE PINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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