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SUMMIT SMILES NPI 1104331081


NPI Information

NPI: 1104331081
Provider Name: SUMMIT SMILES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10595 DOUBLE R BLVD
RENO, NV
ZIP 89521
Phone: (775) 825-8463
Get Directions

SUMMIT SMILES is a general practice dentist in Reno, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SUMMIT SMILES NPI is 1104331081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10595 DOUBLE R BLVD
RENO, NV
ZIP 89521-909
Phone: (775) 825-8463
Fax: (775) 332-8466

The provider's authorized official is Angela Golden .
The authorized official title is Management Consultant and has the following contact phone number (775) 846-4777.

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4783NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10664OTHERNEVADANEVADA DENTAL BOARD OF EXAMINERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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