| Wildcreek Dental | |
|
4650 Wedekind Rd Ste 1 Sparks NV 89431-7722 | |
| (775) 356-8254 | |
| (775) 356-1446 |
| Full Name | Wildcreek Dental |
|---|---|
| Speciality | Dentist |
| Location | 4650 Wedekind Rd Ste 1, Sparks, Nevada |
| Authorized Official Name and Position | Austin Cope (OWNER) |
| Authorized Official Contact | 9162207620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildcreek Dental 4650 Wedekind Rd Ste 1 Sparks NV 89431-7722 Ph: (775) 356-8254 | Wildcreek Dental 4650 Wedekind Rd Ste 1 Sparks NV 89431-7722 Ph: (775) 356-8254 |
| NPI Number | 1053836619 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053836619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6865 (Nevada) | Primary |
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