| Apollo Dental Consulting, P.c. | |
|
13220 Callum Dr Ste 5 Waverly NE 68462-2560 | |
| (402) 786-2007 | |
| (402) 786-2008 |
| Full Name | Apollo Dental Consulting, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13220 Callum Dr Ste 5, Waverly, Nebraska |
| Authorized Official Name and Position | Timothy Vacek (CEO) |
| Authorized Official Contact | 4027862007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Dental Consulting, P.c. 13220 Callum Dr Ste 5 Waverly NE 68462-2560 Ph: (402) 786-2007 | Apollo Dental Consulting, P.c. 13220 Callum Dr Ste 5 Waverly NE 68462-2560 Ph: (402) 786-2007 |
| NPI Number | 1740424027 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740424027 | NPI | - | NPPES |
| 10025738700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6799 (Nebraska) | Primary |