| Fort Mcdermitt Tribe | |
|
112 No Reservation Road Mcdermitt NV 89421-0315 | |
| (775) 532-8522 | |
| (775) 532-8024 |
| Full Name | Fort Mcdermitt Tribe |
|---|---|
| Speciality | Dentist |
| Location | 112 No Reservation Road, Mcdermitt, Nevada |
| Authorized Official Name and Position | Valerie Barr (CFO) |
| Authorized Official Contact | 7755328259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Mcdermitt Tribe 112 No Reservation Road Mcdermitt NV 89421-0315 Ph: (775) 532-8522 | Fort Mcdermitt Tribe 112 No Reservation Road Mcdermitt NV 89421-0315 Ph: (775) 532-8522 |
| NPI Number | 1124567995 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124567995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Fort Mcdermitt Tribe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 No Reservation Rd, Mcdermitt, NV 89421 Phone: 775-532-8522 Fax: 775-532-8522 |