Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Nevada Dental Specialties Group

Organization Pediatric Dentistry · NPI 1720346117

Northern Nevada Dental Specialties Group provides Pediatric Dentistry in Reno, Nevada. Licensed in Nevada. Registered with an NPI since 2012.

Licensed in
NV
In the registry since
2012

Practice location Address checks out

10645 Double R Blvd
Reno, NV 89521-8920 Not confirmed with CMS for 11 years — call before visiting
Phone: (775) 852-6164
Fax: (775) 284-7352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence S6-20 (NV)

Record details

NPI number1720346117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J Wilkerson — Manager · (775) 823-9797
Other names My Kid'S Smile
NPI enumeratedApril 24, 2012
Last updated in NPPESNovember 5, 2014
Mailing address10645 Double R Blvd, Reno, NV 89521-8920

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