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9456 Double R Blvd Suite A Reno NV 89521-5977 | |
| (775) 851-4222 | |
| (775) 851-4321 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9456 Double R Blvd, Reno, Nevada |
| Authorized Official Name and Position | Scott David Jarrett (PRESIDENT) |
| Authorized Official Contact | 7758514222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9456 Double R Blvd Suite A Reno NV 89521-5977 Ph: (775) 851-4222 | 9456 Double R Blvd Suite A Reno NV 89521-5977 Ph: (775) 851-4222 |
| NPI Number | 1245311083 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245311083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | S7-37 (Nevada) | Secondary |
| 1223E0200X | Dentist - Endodontics | S7-40 (Nevada) | Primary |
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