Advanced Dentistry by Design, LLC

Organization Active NPI General Practice Dentistry · Carson City, NV

NPI 1104967413 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104967413
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2316 (NV)
Legal business name
ADVANCED DENTISTRY BY DESIGN, LLC
Practice address
1001 Mountain St
Suite 3G
Carson City, NV 89703-3822
Phone
(775) 883-7244
NPI assigned
Feb 9, 2007
Organization subpart
No

Authorized official

Name
Dr. Randall I Wright, DDS
Title
Manager
Phone
(775) 883-7244

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1001 Mountain St
Ste 3G
Carson City, NV 89703
Phone (775) 883-7244

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 2316 NV Yes

Addresses

Primary practice location

1001 Mountain St
Suite 3G
Carson City, NV 89703-3822

Mailing address

1001 Mountain St
Suite 3G
Carson City, NV 89703-3822
Phone (775) 883-7244

Other identifiers

IdentifierTypeStateIssuer
1184708877OtherNVDR. WRIGHT NPI
1477626570OtherNVDR. EUSE NPI

Other providers in Carson City, NV

All providers in Carson City, NV · General Practice Dentistry in Nevada

Sources for this page

Verify at the official NPI Registry.