Team Perio, INC., A Professional Corporation
Dentist, Periodontics in Reno, NV. Organization (NPI-2).
NPI number1083201248
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1083201248
- Entity type
- Organization (NPI-2)
- Legal business name
- Team Perio, INC., A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Dec 22, 2020
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
Practice location
855 W 7th St Ste 130Reno, NV 89503-2706
Phone 775-447-1191
Mailing address
855 W 7th St Ste 130Reno, NV 89503-2706
Phone 775-447-1191
Authorized official
Eric Blasingame
President/Owner/Periodontist
5302413302
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All 14 Periodontics providers in Reno · All 14,251 providers in Reno
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