# SMALL SMILES OF RENO, LLC

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

## Provider details

- **NPI number:** 1508815747
- **Authorized official:** MR. JAMES LESTER MANN D.D.S. (OWNER DENTIST/LEAD)
- **Authorized official phone:** (775) 329-5437

## Contact information

- **Practice address:** 3362 S. MCCARRAN BLVD., RENO, NV 89502
- **Practice address phone:** (775) 329-5437
- **Practice address fax:** (775) 829-1553
- **Mailing address:** 3362 S. MCCARRAN BLVD., RENO, NV 89502
- **Mailing address phone:** (775) 329-5437
- **Mailing address fax:** (775) 829-1553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | NV | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NV | — |

## Other

- **Enumeration date:** 05/07/2006
- **Last updated:** 06/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1508815747 | — | NV |