| Dr Thomas R Gonzales, DDS | |
|
1825 E Flamingo Rd, Las Vegas, NV 89119-5107 | |
| (702) 798-6684 | |
| (702) 798-7203 |
| Full Name | Dr Thomas R Gonzales |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1825 E Flamingo Rd, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497972871 | NPI | - | NPPES |
| 880266825 | Other | NV | T.I.N. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2427 (Nevada) | Primary |
| Entity Name | Trgonzales Dds Dental Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669181178 PECOS PAC ID: 7810366614 Enrollment ID: O20221219001438 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas R Gonzales, DDS 1825 E Flamingo Rd, Las Vegas, NV 89119-5107 Ph: (702) 798-6684 | Dr Thomas R Gonzales, DDS 1825 E Flamingo Rd, Las Vegas, NV 89119-5107 Ph: (702) 798-6684 |
Dr. Robert Lloyd Roughley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2931 N Tenaya Way, Suitte 206, Las Vegas, NV 89128 Phone: 702-240-6370 Fax: 702-240-6373 | |
Dr. Alister Yi-heng Man, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7180 Cascade Valley Ct Ste 240, Las Vegas, NV 89128 Phone: 702-735-0833 | |
Dr. Robert Arnold Engler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2261 N Rampart Blvd, Las Vegas, NV 89128 Phone: 702-363-8655 Fax: 702-363-3381 | |
Dr. Marella Jo Tagatac, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8995 W Flamingo Rd Ste 100, Las Vegas, NV 89147 Phone: 725-677-1164 | |
Dr. Brady Todd Petersen, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6425 S Durango Dr Ste 120, Las Vegas, NV 89113 Phone: 702-757-5355 | |
Milan Montero, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8772 S Maryland Pkwy, Las Vegas, NV 89123 Phone: 702-586-7800 | |
Dr. Allan Joseph Kirkwood, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 330 S Casino Center Blvd, Las Vegas, NV 89101 Phone: 702-671-8318 |