| Nye Avenue Dental | |
|
2220 N Nye Ave Fremont NE 68025-2543 | |
| (402) 721-2252 | |
| (402) 721-4826 |
| Full Name | Nye Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2220 N Nye Ave, Fremont, Nebraska |
| Authorized Official Name and Position | Bethany J Olson (DENTIST/OWNDER) |
| Authorized Official Contact | 4027212252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nye Avenue Dental 2220 N Nye Ave Fremont NE 68025-2543 Ph: (402) 721-2252 | Nye Avenue Dental 2220 N Nye Ave Fremont NE 68025-2543 Ph: (402) 721-2252 |
| NPI Number | 1508426818 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508426818 | NPI | - | NPPES |
| 10025535600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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