FORT MCDERMITT TRIBE NPI 1285173773

NPI Information

FORT MCDERMITT TRIBE is a pediatric dentistry dentist in Mcdermitt, 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. FORT MCDERMITT TRIBE NPI is 1285173773. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fort Mcdermitt Wellness Center.

The provider's business location address is:

112 NO RESERVATION RD
MCDERMITT, NV
ZIP 89421-315
Phone: (775) 532-8522
Fax: (775) 532-8522

The provider's authorized official is Valerie Barr .
The authorized official title is Cfo and has the following contact phone number (775) 532-8259.

The enumeration date for this NPI number is 2/16/2017 and was last updated on 2/16/2017.

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:

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