TRYLOVICH, GIFFORD, LTD. (NPI# 1619028800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619028800 |
| Entity Type | Organization |
| Organization Name | TRYLOVICH, GIFFORD, LTD. |
| Practice Address |
3811 W Charleston Blvd #201 Las Vegas NV 89102-1846 |
| Practice Telephone | 7022591943 |
| Practice Fax Number | 7028772727 |
| Mailing Telephone | 7022591943 |
| Mailing Fax Number | 7028772727 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | DR. DAVID JAMES TRYLOVICH (OWNER) |
| Authorized Official Telephone | 7022591943 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
5103 | NV | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
2635 | NV | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
6507 | NV | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2707 | NV | Dental Providers |
| Street Address |
3811 W CHARLESTON BLVD #201 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473460 | Educare Community Living Corp | Intermediate Care Facility, Mental Illness | 3811 W Charleston Blvd, 210, Las Vegas, NV 89102-1846 | 2006-03-28 |
| 1134535081 | Brian Paul Mantor | Dentist | 3811 W Charleston Blvd, Suite 201, Las Vegas, NV 89102-1836 | 2014-07-10 |
| 1033447859 | Educare Community Living Corporation - Nevada | Community/Behavioral Health | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2009-12-07 |
| 1396906863 | David James Trylovich | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| 1457512923 | Gary Dee Goaslind | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| 1295996627 | Ryan Scott Gifford | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| 1427252741 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2007-06-12 |
| 1063616381 | Educare Community Living Corporation - Nevada | Intermediate Care Facility, Mentally Retarded | 3811 W Charleston Blvd, Suite 210, Las Vegas, NV 89102-1846 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710259254 | James Rogers | Dentist | 3575 S Town Center Dr, Suite 110, Las Vegas, NV 89135-3045 | 2012-01-30 |
| 1760774558 | Benjamin Ellsworth | Dentist | 505 Bachelor Button St, Las Vegas, NV 89138-6077 | 2011-05-11 |
| 1518285808 | Curry H. Leavitt | Dentist | 7475 W Sahara Ave, 101, Las Vegas, NV 89117-2867 | 2010-05-11 |
| 1588861348 | Eric Bernzweig | Dentist | 6835 W Charleston Blvd, Las Vegas, NV 89117 | 2007-06-27 |
| 1235269838 | Richard Alan Mecall | Dentist | 2327 Green Mountain Ct, Las Vegas, NV 89135-1536 | 2007-03-06 |
| 1497883656 | James K. Rogers, D.d.s., M.s., L.t.d. | Dentist | 3575 S. Town Center Dr., Suite 110, Las Vegas, NV 89135 | 2007-03-01 |
| 1679680920 | Allen Wei-lun Huang | Dentist | 2430 E Harmon, Ste #6, Las Vegas, NV 89121 | 2006-08-24 |
| 1851329189 | Jeffrey Wang | Dentist | 7151 Cascade Valley Ct, 107, Las Vegas, NV 89128-0496 | 2006-06-28 |
| 1891156287 | Ahdperio | Dentist | 6669 Smoke Ranch Rd, Las Vegas, NV 89108-8419 | 2016-03-11 |
| 1134535081 | Brian Paul Mantor | Dentist | 3811 W Charleston Blvd, Suite 201, Las Vegas, NV 89102-1836 | 2014-07-10 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.