Provider Demographics
NPI:1861759292
Name:NV ORAL SURGERY, LTD.
Entity type:Organization
Organization Name:NV ORAL SURGERY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAVANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:775-359-3322
Mailing Address - Street 1:730 BARING BLVD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-1500
Mailing Address - Country:US
Mailing Address - Phone:775-359-3322
Mailing Address - Fax:775-359-1925
Practice Address - Street 1:730 BARING BLVD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-1500
Practice Address - Country:US
Practice Address - Phone:775-359-3322
Practice Address - Fax:775-359-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS2-321223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty