Summit Boulevard Dental

LBN: Summit Boulevard Dental
Summit Boulevard Dental is an health care organization with primary practice located at 13985 S Virginia St Ste 806 , Reno NV 89511-8934. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Dentist is the primary health care specialty. Summit Boulevard Dental can be contacted via phone (775) 846-4777, or through Adams, Timothy via phone (615) 601-4728.

Contact Information

Primary practice address
13985 S Virginia St Ste 806 Reno NV 89511-8934
Phone: (775) 846-4777
Fax: (775) 525-5512
Website:
Map and Directions
Authorized official contact:
Name: Adams, Timothy Doctor of Dental Medicine (DMD)
Phone: (615) 601-4728

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X S7-88C Nevada
Dental Providers / Endodontics 1223E0200X S7-881 Nevada

Profile Details

NPI number 1063900595
LBN Legal business name Summit Boulevard Dental
DBA Doing business as
Authorized official Adams, Timothy Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2018
Last updated Apr 30th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063900595 NPPES
Other 1306026679 DENTISTRY

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