1164439444 NPI number — DR. R GARTH HARRIS D.D.S.

Table of content: DR. R GARTH HARRIS D.D.S. (NPI 1164439444)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164439444 NPI number — DR. R GARTH HARRIS D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARRIS
Provider First Name:
R GARTH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARRIS
Provider Other First Name:
RODNEY
Provider Other Middle Name:
GARTH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1164439444
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/24/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9777 BERMUDA RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89183-3571
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-699-5551
Provider Business Mailing Address Fax Number:
702-914-9019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9777 BERMUDA RD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89183-3571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-324-0404
Provider Business Practice Location Address Fax Number:
702-914-9019
Provider Enumeration Date:
08/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  3208 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)