# THE DENTISTS' OFFICE FERNLEY LLC

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

## Provider details

- **NPI number:** 1528598679
- **Authorized official:** NATE ROCKWELL (CFO)
- **Authorized official phone:** (775) 336-1510

## Contact information

- **Practice address:** 90 FALCON DR STE 110, FERNLEY, NV 89408-4729
- **Practice address phone:** (775) 336-1510
- **Mailing address:** 3605 GRANT DRIVE, RENO, NV 89509
- **Mailing address phone:** (775) 336-1510
- **Mailing address fax:** (775) 823-5218

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 07/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1223P0221X | GENERAL DENTISTRY | NV |