| Ide Family Dental | |
|
1002 Meridian Ave Cozad NE 69130-1757 | |
| (308) 784-3377 | |
| (308) 784-3395 |
| Full Name | Ide Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1002 Meridian Ave, Cozad, Nebraska |
| Authorized Official Name and Position | Amber Ide (OWNER) |
| Authorized Official Contact | 3087843377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ide Family Dental Po Box 147 Cozad NE 69130-0147 Ph: (308) 784-3377 | Ide Family Dental 1002 Meridian Ave Cozad NE 69130-1757 Ph: (308) 784-3377 |
| NPI Number | 1750950937 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 8426528688 |
|---|---|
| Medicare Enrollment ID | O20260528003080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750950937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
Scott Kugler DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Meridian, Cozad, NE 69130 Phone: 308-784-4600 Fax: 308-784-4601 |
Davis Family Dental, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Meridian Ave, Cozad, NE 69130 Phone: 308-784-3377 Fax: 308-784-3395 |