NORTHERN NEVADA FAMILY DENTAL NPI 1811403900

NPI Information

NORTHERN NEVADA FAMILY DENTAL is a dental clinic center in Sparks, NV. NORTHERN NEVADA FAMILY DENTAL NPI is 1811403900. The provider is registered as an organization entity type.

The provider's business location address is:

5901 S LOS ALTOS PKWY STE 100
SPARKS, NV
ZIP 89436-667
Phone: (775) 626-7772
Fax: (775) 626-7811

The provider's authorized official is Littlejohn K Vanhorn .
The authorized official title is Manager and has the following contact phone number (775) 626-7772.

The CLIA number assigned to this NPI record is 29D1090151 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 12/27/2017.

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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