OrganizationActive
Advanced Dentistry By Design, LLC
NPI 1104967413 · General Practice Dentistry · Carson City, NV
Provider details
- NPI number
- 1104967413
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Randall Wright, Manager
- License
- 2316 (NV)
Practice location
1001 Mountain St
Suite 3g
Carson City, NV 89703-3822
Phone: (775) 883-7244
Mailing address
1001 Mountain St
Carson City, NV 89703-3822
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.