Provider Demographics
NPI:1750187811
Name:DENTIST IN RENO LLC
Entity type:Organization
Organization Name:DENTIST IN RENO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:EAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-830-6881
Mailing Address - Street 1:8040 S VIRGINIA ST STE 4
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8939
Mailing Address - Country:US
Mailing Address - Phone:775-339-9893
Mailing Address - Fax:775-339-9894
Practice Address - Street 1:8040 S VIRGINIA ST STE 4
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8939
Practice Address - Country:US
Practice Address - Phone:775-339-9893
Practice Address - Fax:775-339-9894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty