Provider Demographics
NPI:1710171285
Name:ALAND FAMILY DENTISTRY LLC
Entity Type:Organization
Organization Name:ALAND FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:775-575-5007
Mailing Address - Street 1:1695 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3408
Mailing Address - Country:US
Mailing Address - Phone:775-233-6038
Mailing Address - Fax:931-233-6031
Practice Address - Street 1:1695 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3408
Practice Address - Country:US
Practice Address - Phone:775-233-6038
Practice Address - Fax:931-233-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVGR4651T261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental