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RUBY MOUNTAIN DENTAL LLC
NPI 1700367190
Dentist - General Practice in Wells, NV

Active since August 24, 2018
1000 HUMBOLDT AVE STE A, WELLS, NV 89835(775) 752-3056 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruby Mountain Dental Llc NPPES

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

RUBY MOUNTAIN DENTAL LLC (NPI 1700367190) is a healthcare organization registered as a general practice in Wells, Nevada and active in the NPI registry since August 2018. The organization lists Travis Trent Shepherd, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1700367190
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRUBY MOUNTAIN DENTAL LLC
Location Address1000 HUMBOLDT AVE STE AWells, NV 89835
Mailing Address610 Garnet DrKimberly, ID 83341-1942 · (505) 787-0082
Phone(775) 752-3056
Organization SubpartNo
Authorized OfficialTravis Trent ShepherdDentist/owner · (775) 752-3056
Enumeration DateAugust 24, 2018
✔ NPI 1700367190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · GR6862TA
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1000 HUMBOLDT AVE STE A, Wells, NV 89835
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruby Mountain Dental LLC's NPI number?

The NPI number for Ruby Mountain Dental LLC is 1700367190. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Ruby Mountain Dental LLC located?

Ruby Mountain Dental LLC is located at 1000 Humboldt Ave Ste A, Wells, NV 89835. The listed phone number is (775) 752-3056.

What is Ruby Mountain Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ruby Mountain Dental LLC was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.