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NPI Code Detail

MEDICARE: DR. BRANDI NICOLE DUPONT D.M.D.

MEDICARE: DR. BRANDI NICOLE DUPONT D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5555NV

General Provider Information

NPI Number : 1841489432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDI NICOLE DUPONT D.M.D.
Provider Business Mailing Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3893
Provider Business Practice Location Address
First Line : 1055 S WELLS AVE
Second Line :
City : RENO
State : NV
Zip : 89502-2550
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2007
Last Update Date : 03/25/2015

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