Organization · Type 2 NPI

Jason Champagne V, LLC

Pediatric Dentistry · Sparks, NV

NPI number 1215332374 Active

Practice location

1125 Avenue Of The Oaks Unit 161
Sparks, NV 89431-4913

Fax (775) 870-1632

Mailing address

PO Box 2070
Sparks, NV 89432-2070

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4049 (NV)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1215332374

Jason Champagne V, LLC's National Provider Identifier is 1215332374, issued on Oct 30, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sparks, NV. The record was last updated on Aug 9, 2024.