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Contact Information

LEGENDARY SMILES ORTHODONTICS LLC
5220 NEIL RD.
STE. 110
RENO, NV89502
 Phone: 775-336-1510
 Fax: 775-336-1510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for LEGENDARY SMILES ORTHODONTICS LLC

NPI # 1114454097
LBN Legal business name LEGENDARY SMILES ORTHODONTICS LLC
Authorized official NATE ROCKWELL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2017
Last updated 03/17/2018 - 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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