# AUSTIN COPE DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wildcreek Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053836619
- **Authorized official:** AUSTIN COPE DMD (OWNER)
- **Authorized official phone:** (916) 220-7620

## Contact information

- **Practice address:** 4650 WEDEKIND RD STE 1, SPARKS, NV 89431-7722
- **Practice address phone:** (775) 356-8254
- **Practice address fax:** (775) 356-1446
- **Mailing address:** 4650 WEDEKIND RD STE 1, SPARKS, NV 89431-7722
- **Mailing address phone:** (775) 356-8254
- **Mailing address fax:** (775) 356-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6865 | NV | Yes |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 07/21/2022
