Ruby Mountain Dental LLC
Organization Active NPI General Practice Dentistry · Wells, NV
NPI 1700367190 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1700367190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- GR6862TA (NV)
- Legal business name
- RUBY MOUNTAIN DENTAL LLC
- Practice address
- 1000 Humboldt Ave Ste a
Wells, NV 89835 - Phone
- (775) 752-3056
- NPI assigned
- Aug 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Travis Trent Shepherd, DMD
- Title
- Dentist/Owner
- Phone
- (775) 752-3056
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | GR6862TA | NV | Yes |
Addresses
Primary practice location
1000 Humboldt Ave Ste a
Wells, NV 89835
Mailing address
610 Garnet Dr
Kimberly, ID 83341-1942
Phone (505) 787-0082
Other providers in Wells, NV
- Elizabeth Rose Downey
- Brenda Landry
- Dorolie Peters
- Zalie Peters
- Ruby Mountain Behavior Services
- Kylie Lee Schroeder
- Renata D Speir
- Veronica Suzanne Stevens
- Wells Pharmacy Inc
All providers in Wells, NV · General Practice Dentistry in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2018. 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.