Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Nevada Dental Specialty Group

Organization Dentist · NPI 1073995213

Northern Nevada Dental Specialty Group provides Dentist services in Sparks, Nevada. Licensed in Nevada. Registered with an NPI since 2015.

Licensed in
NV
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3150 Vista Blvd Ste 110
Sparks, NV 89436-6712 Not confirmed with CMS for 11 years — call before visiting
Phone: (775) 852-6164
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4489 (NV)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 36-117 (NV)

Record details

NPI number1073995213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Christiansen — Manager · (775) 848-3005
Other names My Kid'S Smile
NPI enumeratedJune 24, 2015
Last updated in NPPESJune 24, 2015
Mailing address10645 Double R Blvd, Reno, NV 89521-8920

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