Otolaryngology, Facial Plastic Surgery
TAHOE FACIAL PLASTIC SURGERY PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1730914433 · enumerated 2024-09-04 · record updated 2024-09-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. BENJAMIN BRADFORD M.D., CEO · (808) 936-3090
Other names: TAHOE FACIAL PLASTIC SURGERY
Addresses and phones
- Mailing address PO BOX 11195, ZEPHYR COVE, NV, 89448-3195 (530) 721-6052 Google Maps Apple Maps OpenStreetMap
- Practice location 1600 MEDICAL PKWY, CARSON CITY, NV, 89703-4625 (530) 721-6052 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Otolaryngology, Facial Plastic Surgery 207YS0123X · Primary
- Plastic Surgery 208200000X
In this directory
NV Carson City Carson City Otolaryngology, Facial Plastic Surgery
Locations and evidence
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Practice location
CARSON CITY, NV, 897034625
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.