Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2060 | NV |
NPI | 1083692487 |
---|---|
Provider Name | Dr. Mont Merrill Ringer |
First Address | Las Vegas, NV 89148-5662 |
Second Address | Las Vegas, NV 89148-5662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 29/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00202795 | (05) | NV |
V32630 | (02) |