| Summit Smiles | |
|
10595 Double R Blvd Reno NV 89521-8909 | |
| (775) 825-8463 | |
| (775) 332-8466 |
| Full Name | Summit Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10595 Double R Blvd, Reno, Nevada |
| Authorized Official Name and Position | Angela Golden (MANAGEMENT CONSULTANT) |
| Authorized Official Contact | 7758464777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Smiles 10595 Double R Blvd Reno NV 89521-8909 Ph: (775) 825-8463 | Summit Smiles 10595 Double R Blvd Reno NV 89521-8909 Ph: (775) 825-8463 |
| NPI Number | 1104331081 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104331081 | NPI | - | NPPES |
| 0664 | Other | NV | NEVADA DENTAL BOARD OF EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4783 (Nevada) | Primary |
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