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Contact Information

ENDO MTB PLLC
5420 KIETZKE LN STE 100
RENO, NV89511-2063
 Phone: 775-825-5221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDO MTB PLLC

NPI # 1689463440
LBN Legal business name ENDO MTB PLLC
Authorized official BENJAMIN BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2025
Last updated 05/13/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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