| Western Dental Of Nevada | |
|
685 E Prater Way Suite #103 Sparks NV 89431-4681 | |
| (775) 358-4600 | |
| (775) 358-4660 |
| Full Name | Western Dental Of Nevada |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 685 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | William Dale Demberecky (EVP & CHIEF STRATEGY AND GROWTH) |
| Authorized Official Contact | 7145712140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Of Nevada 685 E Prater Way Suite #103 Sparks NV 89431-4681 Ph: (775) 358-4600 | Western Dental Of Nevada 685 E Prater Way Suite #103 Sparks NV 89431-4681 Ph: (775) 358-4600 |
| NPI Number | 1043474158 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043474158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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