# SHANNA K. KIM DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevada Orofacial Pain, TMJ and Sleep Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437976867
- **Authorized official:** DR. SHANNA KIM DDS (OWNER)
- **Authorized official phone:** (775) 241-8489

## Contact information

- **Practice address:** 4840 VISTA BLVD STE 108, SPARKS, NV 89436-2850
- **Practice address phone:** (775) 241-8489
- **Mailing address:** PO BOX 17128, RENO, NV 89511-3101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2024
- **Last updated:** 09/25/2024