Provider Demographics
NPI:1669444097
Name:SVARNEY, ROBERT M JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:SVARNEY
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11830 TEVARE LN UNIT 2061
Mailing Address - Street 2:SUITE 2061
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4598
Mailing Address - Country:US
Mailing Address - Phone:702-540-4256
Mailing Address - Fax:
Practice Address - Street 1:8084 WEST SAHARA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117
Practice Address - Country:US
Practice Address - Phone:702-540-4256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA554641223S0112X
NVS287C1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1669444097Medicaid
NVV104650Medicare PIN
NVV02525Medicare UPIN