Provider Demographics
NPI:1740583632
Name:ROBERT M SVARNEY JR, DDS, PLLC
Entity type:Organization
Organization Name:ROBERT M SVARNEY JR, DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:SVARNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-540-4256
Mailing Address - Street 1:11830 TEVARE LN
Mailing Address - Street 2:SUITE 2061
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4597
Mailing Address - Country:US
Mailing Address - Phone:702-540-4256
Mailing Address - Fax:
Practice Address - Street 1:8084 W SAHARA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2073
Practice Address - Country:US
Practice Address - Phone:702-823-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS287C261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery