Champagne Family Dentistry, LLC

NPI #1952706012 in Sparks, Nevada

Provider Information

NPI Number: 1952706012
Entity Type: Organization
Organization Name: Champagne Family Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 30, 2014
Last Updated: Oct 30, 2014

Practice Location

Address: 735 SPARKS BLVD
City: Sparks
State: Nevada
ZIP Code: 89434-7930
Phone: (775) 359-3934

Authorized Official

Name: DR. JASON LEN CHAMPAGNE, DDS
Title: OWNER
Phone: (775) 359-3934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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