Provider Demographics
NPI:1447987748
Name:PURSER, DREW (DMD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:
Last Name:PURSER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 SAINT ROSE PKWY UNIT 1056
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3516
Mailing Address - Country:US
Mailing Address - Phone:435-632-1124
Mailing Address - Fax:
Practice Address - Street 1:5061 E SAHARA AVE STE 1A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89142-2986
Practice Address - Country:US
Practice Address - Phone:702-641-8868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7693TU122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist