| Gibson & Leavitt Oral, Maxillofacial And Implant Surgery | |
|
670 S. Green Valley Pkwy #115 Henderson NV 89052 | |
| (702) 685-3700 | |
| (702) 685-3701 |
| Full Name | Gibson & Leavitt Oral, Maxillofacial And Implant Surgery |
|---|---|
| Speciality | Dentist |
| Location | 670 S. Green Valley Pkwy #115, Henderson, Nevada |
| Authorized Official Name and Position | Ryan C Gibson (OWNER) |
| Authorized Official Contact | 7026853700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson & Leavitt Oral, Maxillofacial And Implant Surgery 670 S. Green Valley Pkwy #115 Henderson NV 89052 Ph: (702) 685-3700 | Gibson & Leavitt Oral, Maxillofacial And Implant Surgery 670 S. Green Valley Pkwy #115 Henderson NV 89052 Ph: (702) 685-3700 |
| NPI Number | 1871820530 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 0749595205 |
|---|---|
| Medicare Enrollment ID | O20150813010250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871820530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ryan C Gibson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780794297 PECOS PAC ID: 8325177132 Enrollment ID: I20100603000210 |
| Provider Name | Bryce D Leavitt |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093919417 PECOS PAC ID: 8022105956 Enrollment ID: I20150825005378 |
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