Healthcare Provider Details

I. General information

NPI: 1134848906
Provider Name (Legal Business Name): ROBERT ALAN BAILEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 S CARSON ST
CARSON CITY NV
89701-5538
US

IV. Provider business mailing address

3815 S CARSON ST
CARSON CITY NV
89701-5538
US

V. Phone/Fax

Practice location:
  • Phone: 806-661-8668
  • Fax:
Mailing address:
  • Phone: 806-661-8668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7792
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: