NORTHERN NEVADA DENTAL SPECIALTIES GROUP NPI 1720346117

NPI Information

NPI: 1720346117
Provider Name: NORTHERN NEVADA DENTAL SPECIALTIES GROUP

Doing Business As: MY KID'S SMILE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10645 DOUBLE R BLVD
RENO, NV
ZIP 89521
Phone: (775) 852-6164
Get Directions

NORTHERN NEVADA DENTAL SPECIALTIES GROUP is a pediatric dentistry dentist in Reno, NV. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NORTHERN NEVADA DENTAL SPECIALTIES GROUP NPI is 1720346117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As My Kid's Smile.

The provider's business location address is:

10645 DOUBLE R BLVD
RENO, NV
ZIP 89521-920
Phone: (775) 852-6164
Fax: (775) 284-7352

The provider's authorized official is J Justin Wilkerson .
The authorized official title is Manager and has the following contact phone number (775) 823-9797.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 11/5/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	S6-20	NEVADA	Yes

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

NPI Synchronization or Removal

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