SUMMIT BOULEVARD DENTAL
NPI 1063900595
Dentist in Reno, NV

Active since April 30, 2018
13985 S VIRGINIA ST STE 806, RENO, NV 89511(775) 846-4777(775) 525-5512 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Summit Boulevard Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT BOULEVARD DENTAL (NPI 1063900595) is a healthcare organization registered as a dentist in Reno, Nevada and active in the NPI registry since April 2018. The organization lists Timothy Adams, Owner, as its authorized official.

NPPES Registry Identity

NPI1063900595
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUMMIT BOULEVARD DENTAL
Location Address13985 S VIRGINIA ST STE 806Reno, NV 89511-8934
Mailing Address13985 S Virginia St Ste 806Reno, NV 89511-8934 · (775) 846-4777 · Fax (775) 525-5512
Fax(775) 525-5512
Organization SubpartNo
Authorized OfficialTimothy AdamsOwner · (615) 601-4728
Enumeration DateApril 30, 2018
NPI 1063900595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NV · S7-88C
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License S7-881 (NV)
13985 S VIRGINIA ST STE 806, Reno, NV 89511

Other Identifiers 1

Other1306026679Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
13985 S VIRGINIA ST STE 806
RENO, NV 89511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063900595, enumerated as an "organization" on April 30, 2018.

The provider is located at 13985 S VIRGINIA ST STE 806 RENO, NV 89511 and the phone number is (775) 846-4777.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to verify.