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CHAMPAGNE FAMILY DENTISTRY LLC NPI 1952706012


NPI Information

NPI: 1952706012
Provider Name: CHAMPAGNE FAMILY DENTISTRY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
735 SPARKS BLVD
SPARKS, NV
ZIP 89434
Phone: (775) 359-3934
Get Directions

CHAMPAGNE FAMILY DENTISTRY, LLC is a general practice dentist in Sparks, 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. CHAMPAGNE FAMILY DENTISTRY, LLC NPI is 1952706012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

735 SPARKS BLVD
SPARKS, NV
ZIP 89434-930
Phone: (775) 359-3934
Fax: (775) 359-4034

The provider's authorized official is Jason Len Champagne .
The authorized official title is Owner and has the following contact phone number (775) 359-3934.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 10/30/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4050NEVADAYes

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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