Provider Demographics
NPI:1447251756
Name:DENTON, MARGARET VIVIAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:VIVIAN
Last Name:DENTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:780 KUENZLI ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-0845
Mailing Address - Country:US
Mailing Address - Phone:775-982-4590
Mailing Address - Fax:775-982-4595
Practice Address - Street 1:560 E WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3031
Practice Address - Country:US
Practice Address - Phone:775-982-5000
Practice Address - Fax:775-982-2988
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2018-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV14708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1932187044OtherKYMERA GROUP NPI
NMZ2565OtherKYMERA GROUP MCD
87726OtherUNITED HEALTHCARE
NM800521089OtherKYMERA GROUP MCR
110162385OtherRR MEDICARE
NM34732OtherPRESBYTERIAN
NMNM011928OtherBCBS
NMR6548Medicaid
110162385OtherRR MEDICARE
NMNM011928OtherBCBS