CPD SOUTH MEADOWS LLC NPI 1891441762

NPI Information

CPD SOUTH MEADOWS LLC is an oral and maxillofacial surgery dentist in Reno, NV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CPD SOUTH MEADOWS LLC NPI is 1891441762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5435 KIETZKE LN STE 100
RENO, NV
ZIP 89511-088
Phone: (775) 237-2038
Fax: (775) 359-4034

The provider's authorized official is Jason Champagne .
The authorized official title is Owner and has the following contact phone number (775) 636-9939.

The enumeration date for this NPI number is 3/1/2022 and was last updated on 8/30/2023.

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:

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