# T KIRKLAND DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1184061939
- **Authorized official:** TRAVIS Z KIRKLAND (PRESIDENT)
- **Authorized official phone:** (775) 738-9666

## Contact information

- **Practice address:** 12721 MORENO BEACH DR, MORENO VALLEY, CA 92555-4411
- **Practice address phone:** (909) 843-9171
- **Mailing address:** 2575 N 5TH ST, ELKO, NV 89801-5092
- **Mailing address phone:** (775) 738-9666
- **Mailing address fax:** (775) 738-6815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 62179 | CA | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013