| Champagne Pediatric Dentistry | |
|
1125 Avenue Of The Oaks Unit 161 Sparks NV 89431-4913 | |
| (775) 335-3199 | |
| (775) 870-1632 |
| Full Name | Champagne Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1125 Avenue Of The Oaks Unit 161, Sparks, Nevada |
| Authorized Official Name and Position | Cariann Elaine Champagne (OWNER) |
| Authorized Official Contact | 7753593934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champagne Pediatric Dentistry Po Box 2070 Sparks NV 89432-2070 Ph: (775) 359-3934 | Champagne Pediatric Dentistry 1125 Avenue Of The Oaks Unit 161 Sparks NV 89431-4913 Ph: (775) 335-3199 |
| NPI Number | 1215332374 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215332374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4049 (Nevada) | Primary |
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