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Ccpd Llc
Pediatric Dentist in Carson City, Nevada
NPI 1134662679

Ccpd Llc is a Pediatric Dentist based in Carson City, NV and is specialized in Pediatric Dentistry. Ccpd Llc practices in Carson City, NV. The NPI Number for Ccpd Llc is 1134662679 and holds a License No. S6-109 (Nevada).

The current practice location address for Ccpd Llc is 4530 S Carson St Ste 5, Carson City, NV and can be reached out via phone at 775-461-3800 and via fax at 775-461-3801.

Location: 4530 S Carson St Ste 5, Carson City, NV, 89701-6914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134662679
Provider Name
Ccpd Llc
Credential
Provider Entity Type
Organization
Address
4530 S Carson St Ste 5, Carson City, NV, 89701-6914
Phone Number
775-461-3800
Fax Number
775-461-3801
Provider Enumeration Date
12/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4530 S Carson St Ste 5
City
Carson City
State
Nevada
Zip
89701-6914
Phone Number
775-461-3800
Fax Number
775-461-3801
person
Provider Business Mailing Address Details
Address
4530 S Carson St Ste 5
City
Carson City
State
Nevada
Zip
89701-6914
Phone Number
775-461-3800
Fax Number
775-461-3801
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
S6-109 (Nevada)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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