| Ruby Mountain Dental Llc | |
|
1000 Humboldt Ave Ste A Wells NV 89835 | |
| (775) 752-3056 | |
| Not Available |
| Full Name | Ruby Mountain Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 Humboldt Ave Ste A, Wells, Nevada |
| Authorized Official Name and Position | Travis Trent Shepherd (DENTIST/OWNER) |
| Authorized Official Contact | 7757523056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Mountain Dental Llc 610 Garnet Dr Kimberly ID 83341-1942 Ph: (505) 787-0082 | Ruby Mountain Dental Llc 1000 Humboldt Ave Ste A Wells NV 89835 Ph: (775) 752-3056 |
| NPI Number | 1700367190 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700367190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | GR6862TA (Nevada) | Primary |