| Alliance Dental Clinic Pc | |
|
2308 Box Butte Ave. Alliance NE 69301-0586 | |
| (308) 762-6354 | |
| Not Available |
| Full Name | Alliance Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2308 Box Butte Ave., Alliance, Nebraska |
| Authorized Official Name and Position | Gary Dee Christensen (PRESIDENT) |
| Authorized Official Contact | 3087626354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Dental Clinic Pc Po Box 586 Alliance NE 69301-0586 Ph: (308) 762-6354 | Alliance Dental Clinic Pc 2308 Box Butte Ave. Alliance NE 69301-0586 Ph: (308) 762-6354 |
| NPI Number | 1598834582 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 04/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598834582 | NPI | - | NPPES |
| 10024961800 | Medicaid | NE | |
| 07862 | Other | NE | BCBSNE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4498 (Nebraska) | Primary |
Alliance Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 W 10th St, Alliance, NE 69301 Phone: 308-762-6131 Fax: 308-762-6132 | |
Brandon R. Wilcox, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 W 10th St, Alliance, NE 69301 Phone: 308-762-6131 Fax: 308-762-6132 |