OrganizationActive
Summit Boulevard Dental
NPI 1063900595 · Dentist · Reno, NV
Provider details
- NPI number
- 1063900595
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Adams, Owner(615) 601-4728
- License
- S7-881 (NV)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13985 S Virginia St Ste 806
Reno, NV 89511-8934
Phone: (775) 846-4777
Fax: (775) 525-5512
Street-level locationGet directions
Mailing address
13985 S Virginia St Ste 806
Reno, NV 89511-8934
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2018-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.