Dr. Brian Paul Mantor
Periodontist
3811 W Charleston Blvd Suite 201
Las Vegas
, Nevada 89102-1836
Dr. Brian Paul Mantor
Periodontist
3811 W Charleston Blvd Suite 201
Las Vegas
, Nevada 89102-1836
(702) 877-2727
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Brian Paul Mantor
- 3811 W Charleston Blvd Suite 201
- Las Vegas, NV
- Zip : 89102-1836
- Fax : (702) 877-2727
- Phone : (702) 259-1943
Second Address
- Dr. Brian Paul Mantor
- 3811 W Charleston Blvd Suite 201
- Las Vegas, NV
- Zip : 89102-1836
- Fax : (702) 877-2727
- Phone : (702) 259-1943
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 6507 | NV |
National Provider Identifier
| NPI | 1134535081 |
|---|---|
| Provider Name | Dr. Brian Paul Mantor |
| First Address | Las Vegas, NV 89102-1836 |
| Second Address | Las Vegas, NV 89102-1836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.