Elizabeth Dominique Bond
Individual provider Active NPI Dental Assistant · Fallon, NV
NPI 1548833973 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1548833973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- 4755 Pasture Rd BLDG 299
Fallon, NV 89406-3491 - Phone
- (775) 426-2811
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Yes |
Addresses
Primary practice location
4755 Pasture Rd BLDG 299
Fallon, NV 89406-3491
Mailing address
4755 Pasture Rd BLDG 299
Fallon, NV 89406-3491
Phone (775) 426-2811
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.