| Champagne Family Dentistry, Llc | |
|
735 Sparks Blvd Sparks NV 89434-7930 | |
| (775) 359-3934 | |
| (775) 359-4034 |
| Full Name | Champagne Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 735 Sparks Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Jason Len Champagne (OWNER) |
| Authorized Official Contact | 7753593934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champagne Family Dentistry, Llc 735 Sparks Blvd Sparks NV 89434-7930 Ph: (775) 359-3934 | Champagne Family Dentistry, Llc 735 Sparks Blvd Sparks NV 89434-7930 Ph: (775) 359-3934 |
| NPI Number | 1952706012 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952706012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4050 (Nevada) | Primary |
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