# RENO ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rick J. Rawson, D.D.S., M.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750637096
- **Authorized official:** DR. RICK J RAWSON D.D.S.,.M.S. (OWNER)
- **Authorized official phone:** (775) 853-9696

## Contact information

- **Practice address:** 5420 KIETZKE LN STE 102, RENO, NV 89511-2063
- **Practice address phone:** (775) 853-9696
- **Practice address fax:** (775) 853-9695
- **Mailing address:** 5420 KIETZKE LN STE 102, RENO, NV 89511-2063
- **Mailing address phone:** (775) 853-9696
- **Mailing address fax:** (775) 853-9695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6268 | NV | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | S295C | NV | Yes |

## Other

- **Enumeration date:** 07/24/2012
- **Last updated:** 07/24/2012