Provider Demographics
NPI:1740802586
Name:DAVID DIEHL DMD, PLLC
Entity Type:Organization
Organization Name:DAVID DIEHL DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:775-738-3110
Mailing Address - Street 1:282 SPRING CREEK PKWY # 202
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-5822
Mailing Address - Country:US
Mailing Address - Phone:775-738-3110
Mailing Address - Fax:
Practice Address - Street 1:282 SPRING CREEK PKWY # 202
Practice Address - Street 2:
Practice Address - City:SPRING CREEK
Practice Address - State:NV
Practice Address - Zip Code:89815-5822
Practice Address - Country:US
Practice Address - Phone:775-738-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental