My Kid'S Smile
LBN: Northern Nevada Dental Specialty Group
My Kid'S Smile is an health care organization with primary practice located at 3150 Vista Blvd Suite 110, Sparks NV 89436-6712. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty.
Northern Nevada Dental Specialty Group can be contacted via phone (775) 852-6164, or through Christiansen, Nicholas Channing via phone (775) 848-3005.
Contact Information
Primary practice address
3150 Vista Blvd Suite 110
Sparks NV 89436-6712
Phone: (775) 852-6164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4489 | Nevada |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 36-117 | Nevada |
Profile Details
| NPI number | 1073995213 |
|---|---|
| LBN Legal business name | Northern Nevada Dental Specialty Group |
| DBA Doing business as | My Kid'S Smile |
| Authorized official | Christiansen, Nicholas Channing |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Jun 24th, 2015 - about 11 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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