Provider Demographics
NPI:1003159369
Name:7 DAY DENTAL OF NEVADA, LLC
Entity Type:Organization
Organization Name:7 DAY DENTAL OF NEVADA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-738-9666
Mailing Address - Street 1:2575 N 5TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-5092
Mailing Address - Country:US
Mailing Address - Phone:775-738-9666
Mailing Address - Fax:775-738-6815
Practice Address - Street 1:2575 N 5TH ST
Practice Address - Street 2:STE A
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-5092
Practice Address - Country:US
Practice Address - Phone:775-738-9666
Practice Address - Fax:775-738-6815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV41671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty