Summit Boulevard Dental

NPI #1063900595 in Reno, Nevada

Provider Information

NPI Number: 1063900595
Entity Type: Organization
Organization Name: Summit Boulevard Dental
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2018
Last Updated: Apr 30, 2018

Practice Location

Address: 13985 S VIRGINIA ST STE 806
City: Reno
State: Nevada
ZIP Code: 89511-8934
Phone: (775) 846-4777

Authorized Official

Name: DR. TIMOTHY ADAMS, DMD
Title: OWNER
Phone: (615) 601-4728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist	122300000X	Primary

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