| Dental Anesthesia Of Nevada, Llc | |
|
10645 Double R Blvd Reno NV 89521-8920 | |
| (775) 852-6164 | |
| Not Available |
| Full Name | Dental Anesthesia Of Nevada, Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 10645 Double R Blvd, Reno, Nevada |
| Authorized Official Name and Position | Steve Delong (CEO) |
| Authorized Official Contact | 7753361510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Anesthesia Of Nevada, Llc 3605 Grant Dr Reno NV 89509-5301 Ph: (775) 409-4614 | Dental Anesthesia Of Nevada, Llc 10645 Double R Blvd Reno NV 89521-8920 Ph: (775) 852-6164 |
| NPI Number | 1821694308 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821694308 | NPI | - | NPPES |
| 1235487745 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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