RUBY MOUNTAIN DENTAL LLC (NPI# 1700367190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700367190 |
| Entity Type | Organization |
| Organization Name | RUBY MOUNTAIN DENTAL LLC |
| Practice Address |
1000 Humboldt Ave Ste A Wells NV 89835 |
| Mailing Address |
610 Garnet Dr Kimberly ID 83341-1942 |
| Practice Telephone | 7757523056 |
| Mailing Telephone | 5057870082 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | DR. TRAVIS TRENT SHEPHERD (DENTIST/OWNER) |
| Authorized Official Telephone | 7757523056 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
GR6862TA | NV | Dental Providers |
| Street Address |
1000 HUMBOLDT AVE STE A |
| City | WELLS |
| State | NV |
| Zip Code | 89835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855811 | Zalie Peters | Behavior Technician | 514 Woodhills Lane, Wells, NV 89835 | 2019-01-24 |
| 1942798632 | Dorolie Peters | Behavior Technician | 1378 Lake Ave., Wells, NV 89835 | 2018-04-27 |
| 1033627120 | Aems | Clinic/Center | 197 Baker Street, Wells, NV 89835 | 2018-01-11 |
| 1245745314 | Elizabeth Rose Downey | Behavior Technician | 807 Hogan St., Wells, NV 89835 | 2017-12-11 |
| 1578068383 | Veronica Suzanne Stevens | Registered Nurse | 197 Baker Street, Wells, NV 89835 | 2018-03-26 |
| 1225509623 | Kylie Lee Schroeder | Behavior Technician | 543 Dover St, Wells, NV 89835-0301 | 2018-12-10 |
| 1962413476 | Wells Pharmacy Inc | Pharmacy | 647 Humboldt Ave, Wells, NV 89835-0336 | 2006-08-10 |
| 1043860638 | Brenda Landry | Technician | 340 6th St # 26, Wells, NV 89835-8031 | 2019-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463823 | Cori Dorsey | Occupational Therapy Assistant | 46 May St, Wells, TX 75976-4136 | 2020-06-30 |
| 1730702762 | Atlantic Pines Oral Surgery and Anesthesia | Clinic/Center | 1931 Sanford Rd, Wells, ME 04090-6488 | 2020-05-26 |
| 1497218010 | Gabrielle Beauchamp | Occupational Therapist | 6677 John 17.3 Ave, Wells, MI 49894-9742 | 2019-04-10 |
| 1417414152 | Northbridge Avita Wells II LLC | Alzheimer Center (Dementia Center) | 86 Sanford Rd, Wells, ME 04090-5532 | 2019-03-01 |
| 1891239679 | Avita Wells LLC | Alzheimer Center (Dementia Center) | 86 Sanford Road, Wells, ME 04090 | 2016-12-13 |
| 1134677958 | Morgan Gaines | Midwife | 416 Littlefield Rd, Wells, ME 04090-5114 | 2016-09-21 |
| 1033666359 | Rebecca Richards | Clinical Neuropsychologist | 2178 Post Rd Ste 201, Wells, ME 04090-4794 | 2016-09-02 |
| 1437504198 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 205 Spencer Dr, Wells, ME 04090-5553 | 2016-05-02 |
| 1114303377 | Hillary Lane | Physical Therapist | 526 Post Rd, Wells, ME 04090-4021 | 2015-08-10 |
| 1003293713 | Laura Klingbeil | Student in an Organized Health Care Education/Training Program | 15838 State Highway 22, Wells, MN 56097-4355 | 2015-05-01 |
| Find all providers in WELLS | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861025 | Lawrence Andrew Boyle | Dentist | 1332 Post Rd, Unit 1a, Wells, ME 04090-4561 | 2007-01-01 |
| 1942387782 | Andrew W Rutter | Dentist | 1662 Post Rd Unit B1, Wells, ME 04090-4638 | 2006-11-01 |
| 1902809916 | Lee Richheimer | Dentist | 1416 Post Rd, Wells, ME 04090-4508 | 2005-05-23 |
| 1477037703 | Chase Jeffery Williams | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2018-09-22 |
| 1356726673 | Richard Warnick | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2015-07-28 |
| 1316216377 | Modern Dental Professionals Minnesota PC | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2011-12-21 |
| 1619183902 | Lee Richheimer Dds Pa | Dentist | 1416 Post Rd, Wells, ME 04090-4508 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302400 | Margaret Rodriguez | Dentist | 3773 Baker Ln Ste 6, Reno, NV 89509-5490 | 2020-10-07 |
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1790303840 | Harrison Luu | Dentist | 4250 Simmons St Ste 100, North Las Vegas, NV 89032-0769 | 2020-07-06 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RUBY MOUNTAIN DENTAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.