Healthcare Provider Details

I. General information

NPI: 1912101080
Provider Name (Legal Business Name): JEFFREY D ASKINS DDS MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 S MCCARRAN BLVD BLDG B, STE 16
RENO NV
89509-6165
US

IV. Provider business mailing address

2250 S RANCHO DR STE. 205
LAS VEGAS NV
89102-4451
US

V. Phone/Fax

Practice location:
  • Phone: 775-829-8930
  • Fax:
Mailing address:
  • Phone: 702-291-2031
  • Fax: 702-984-7566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberS3-265C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: