|
| |
|
6360 Mae Anne Ave Ste 3 Reno NV 89523-4719 | |
| (775) 823-5100 | |
| (877) 725-7443 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 6360 Mae Anne Ave Ste 3, Reno, Nevada |
| Authorized Official Name and Position | Bradley R Peterson (OWNER/PRESIDENT) |
| Authorized Official Contact | 3608697645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 Se Tech Center Dr Ste 195 Vancouver WA 98683-5511 Ph: (360) 869-7645 | 6360 Mae Anne Ave Ste 3 Reno NV 89523-4719 Ph: (775) 823-5100 |
| NPI Number | 1174006373 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174006373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Village Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Rancharrah Pkwy, Ste 100, Reno, NV 89511 Phone: 775-827-1113 Fax: 775-827-0997 | |
Summit Boulevard Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13985 S Virginia St Ste 806, Reno, NV 89511 Phone: 775-846-4777 Fax: 775-525-5512 | |
High Desert Endodontic Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Caughlin Square, 2, Reno, NV 89519 Phone: 775-826-6111 | |
Kent L. Phillips, D.d.s., M.s., Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5220 Neil Rd, Suite #110, Reno, NV 89502 Phone: 775-332-1750 Fax: 775-332-1753 | |