| Nv Sds Ii Pllc | |
|
2578 Idaho St Elko NV 89801-4601 | |
| (775) 299-4790 | |
| Not Available |
| Full Name | Nv Sds Ii Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2578 Idaho St, Elko, Nevada |
| Authorized Official Name and Position | Charlotte Dasch (SR. DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nv Sds Ii Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (504) 638-0303 | Nv Sds Ii Pllc 2578 Idaho St Elko NV 89801-4601 Ph: (775) 299-4790 |
| NPI Number | 1649156316 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649156316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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