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246 Vincent Ave Chappell NE 69129-9701 | |
(308) 874-2910 | |
(308) 874-2459 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 246 Vincent Ave, Chappell, Nebraska |
Authorized Official Name and Position | Tom Krueger (DENTIST) |
Authorized Official Contact | 3088742910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 468 Chappell NE 69129-0468 Ph: (308) 874-2910 | 246 Vincent Ave Chappell NE 69129-9701 Ph: (308) 874-2910 |
NPI Number | 1245504786 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1245504786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4756 (Nebraska) | Primary |
1223G0001X | Dentist - General Practice | 4753 (Nebraska) | Secondary |