Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit Boulevard Dental

Organization Dentist · NPI 1063900595

Summit Boulevard Dental is a Dentist in Reno, Nevada. Licensed in Nevada. Registered with an NPI since 2018.

Licensed in
NV
In the registry since
2018
Specialties on file
2

Practice location Address checks out

13985 S Virginia St Ste 806
Reno, NV 89511-8934
Phone: (775) 846-4777
Fax: (775) 525-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence S7-88C (NV)
Endodontics Taxonomy 1223E0200X · Licence S7-881 (NV)

Record details

NPI number1063900595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Adams — Owner · (615) 601-4728
NPI enumeratedApril 30, 2018
Last updated in NPPESApril 30, 2018
Mailing address13985 S Virginia St Ste 806, Reno, NV 89511-8934

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