OrganizationActive
Northern Nevada Dental Specialties Group
NPI 1720346117 · Pediatric Dentistry · Reno, NV
Northern Nevada Dental Specialties Group is a Pediatric Dentistry organization in Reno, NV (NPI 1720346117).
Provider details
- NPI number
- 1720346117
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- J Wilkerson, Manager(775) 823-9797
- License
- S6-20 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
10645 Double R Blvd
Reno, NV 89521-8920
Phone: (775) 852-6164
Fax: (775) 284-7352
Street-level locationGet directions
Mailing address
10645 Double R Blvd
Reno, NV 89521-8920
Other names (DBA / former)
- Doing business as
- My Kid'S Smile
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2014-11-05
Frequently asked questions
- What is Northern Nevada Dental Specialties Group's NPI number?
- Northern Nevada Dental Specialties Group's National Provider Identifier (NPI) is 1720346117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Nevada Dental Specialties Group?
- Northern Nevada Dental Specialties Group is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Northern Nevada Dental Specialties Group located?
- Northern Nevada Dental Specialties Group's practice location on file with NPPES is 10645 Double R Blvd, Reno, NV 89521-8920.
- What is Northern Nevada Dental Specialties Group's phone number?
- The practice phone number listed in the NPPES registry for Northern Nevada Dental Specialties Group is (775) 852-6164.
- Who is the authorized official for Northern Nevada Dental Specialties Group?
- The authorized official listed on Northern Nevada Dental Specialties Group's NPPES record is J Wilkerson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Nevada Dental Specialties Group's NPI active?
- Yes — Northern Nevada Dental Specialties Group's NPI (1720346117) is active in the NPPES registry as of the last update on 2014-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.