# ADVANCED DENTISTRY BY DESIGN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104967413
- **Authorized official:** DR. RANDALL I WRIGHT DDS (MANAGER)
- **Authorized official phone:** (775) 883-7244

## Contact information

- **Practice address:** 1001 MOUNTAIN ST, SUITE 3G, CARSON CITY, NV 89703-3822
- **Practice address phone:** (775) 883-7244
- **Mailing address:** 1001 MOUNTAIN ST, SUITE 3G, CARSON CITY, NV 89703-3822
- **Mailing address phone:** (775) 883-7244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2316 | NV | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184708877 | DR. WRIGHT NPI | NV |
| 01 | — | 1477626570 | DR. EUSE NPI | NV |