Provider Demographics
NPI:1720001639
Name:PEAK, AIMEE NEWMARKER (DMD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:NEWMARKER
Last Name:PEAK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1606
Mailing Address - Country:US
Mailing Address - Phone:775-322-0455
Mailing Address - Fax:775-322-0355
Practice Address - Street 1:620 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1606
Practice Address - Country:US
Practice Address - Phone:775-322-0455
Practice Address - Fax:775-322-0355
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV35111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice