# JASON CHAMPAGNE VI,PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spanish Springs Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053117473
- **Authorized official:** JASON CHAMPAGNE (OWNER)
- **Authorized official phone:** (775) 626-6556

## Contact information

- **Practice address:** 5050 VISTA BLVD UNIT 107, SPARKS, NV 89436-2845
- **Practice address phone:** (775) 626-6556
- **Mailing address:** PO BOX 2070, SPARKS, NV 89432-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2025
- **Last updated:** 02/25/2025