Provider Demographics
NPI:1124571591
Name:VALLEY PEDIATRIC DENTISTRY, HEATHER M PARSONS, DMD. LTD
Entity Type:Organization
Organization Name:VALLEY PEDIATRIC DENTISTRY, HEATHER M PARSONS, DMD. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:775-782-8077
Mailing Address - Street 1:PO BOX 2260
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-2260
Mailing Address - Country:US
Mailing Address - Phone:775-782-8077
Mailing Address - Fax:775-782-6199
Practice Address - Street 1:1701 COUNTY RD STE I
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4465
Practice Address - Country:US
Practice Address - Phone:775-782-8077
Practice Address - Fax:775-782-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS6-1361223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty