Provider Demographics
NPI:1447989850
Name:SILVER TREE DENTAL CARE LLC
Entity type:Organization
Organization Name:SILVER TREE DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:775-738-8117
Mailing Address - Street 1:1260 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-3242
Mailing Address - Country:US
Mailing Address - Phone:775-738-8117
Mailing Address - Fax:775-738-2083
Practice Address - Street 1:1260 6TH ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-3242
Practice Address - Country:US
Practice Address - Phone:775-738-8117
Practice Address - Fax:775-738-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty