NPI 1457528390 · live from the CMS NPI Registry
Matthew R. Wirig, DMD, Professional Corporation
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1457528390, active.
NPI record
| NPI | 1457528390 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 34 N Valle Verde Dr, 120, Henderson, NV 89074 |
| Practice phone | 702-454-1008 |
| Enumerated | May 9, 2008 |
| Last updated | November 18, 2008 |
| Authorized official | Matthew Wirig, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-175 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.