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SMALL SMILES OF RENO LLC NPI 1508815747


NPI Information

NPI: 1508815747
Provider Name: SMALL SMILES OF RENO, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3362 S. MCCARRAN BLVD.
RENO, NV
ZIP 89502
Phone: (775) 329-5437
Get Directions

SMALL SMILES OF RENO, LLC 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. SMALL SMILES OF RENO, LLC NPI is 1508815747. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3362 S. MCCARRAN BLVD.
RENO, NV
ZIP 89502
Phone: (775) 329-5437
Fax: (775) 829-1553

The provider's authorized official is James Lester Mann .
The authorized official title is Owner Dentist/lead and has the following contact phone number (775) 329-5437.

The enumeration date for this NPI number is 5/7/2006 and was last updated on 6/25/2015.


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 PracticeNo
21223P0221XDentistPediatric DentistryNEVADANo
31223G0001XDentistGeneral PracticeNEVADAYes

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
11508815747MEDICAIDNEVADA

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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