MY KID'S SMILE
NPI 1720346117
Dentist - Pediatric Dentistry in Reno, NV

Active since April 24, 2012
10645 DOUBLE R BLVD, RENO, NV 89521(775) 852-6164(775) 284-7352 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Kid's Smile NPPES

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

MY KID'S SMILE (NPI 1720346117) is a healthcare organization registered as a pediatric dentistry in Reno, Nevada and active in the NPI registry since April 2012. The organization lists J Justin Wilkerson, Manager, as its authorized official.

NPPES Registry Identity

NPI1720346117
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTHERN NEVADA DENTAL SPECIALTIES GROUP
Location Address10645 DOUBLE R BLVDReno, NV 89521-8920
Mailing Address10645 Double R BlvdReno, NV 89521-8920 · (775) 852-6164 · Fax (775) 284-7352
Fax(775) 284-7352
Organization SubpartNo
Authorized OfficialJ Justin WilkersonManager · (775) 823-9797
Enumeration DateApril 24, 2012
Last NPPES UpdateNovember 5, 2014
NPI 1720346117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NV · S6-20
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.
10645 DOUBLE R BLVD, Reno, NV 89521

Other Names 1

Doing Business AsMy Kid's Smile

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 5

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

Dentist (Orthodontics and Dentofacial Orthopedics)
10645 DOUBLE R BLVD
RENO, NV 89521
Dental Assistant
10645 DOUBLE R BLVD
RENO, NV 89521
Dental Assistant
10645 DOUBLE R BLVD
RENO, NV 89521
Dentist (Dentist Anesthesiologist)
10645 DOUBLE R BLVD
RENO, NV 89521
Dentist (Pediatric Dentistry)
10645 DOUBLE R BLVD
RENO, NV 89521

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 Northern Nevada Dental Specialties Group's NPI number?

The NPI number for Northern Nevada Dental Specialties Group is 1720346117. It was assigned to this organization in the NPPES registry on April 24, 2012. The provider is doing business as My Kid's Smile.

Where is Northern Nevada Dental Specialties Group located?

Northern Nevada Dental Specialties Group is located at 10645 Double R Blvd, Reno, NV 89521. The listed phone number is (775) 852-6164.

What is Northern Nevada Dental Specialties Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Northern Nevada Dental Specialties Group accept?

Health plans from UnitedHealthcare list Northern Nevada Dental Specialties Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Nevada Dental Specialties Group was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.