NPI 1205053576 · live from the CMS NPI Registry
Robert David Mitchell, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Reno, NV. National Provider Identifier 1205053576, active.
NPI record
| NPI | 1205053576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 6395 S Mccarran Blvd Ste B, Reno, NV 89509 |
| Practice phone | 775-823-9419 |
| Enumerated | April 19, 2007 |
| Last updated | May 7, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 27904 (CA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-319C (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.