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246 Vincent Ave Chappell NE 69129-9701 | |
| (308) 874-2910 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 246 Vincent Ave, Chappell, Nebraska |
| Authorized Official Name and Position | Travis Dickey (OWNER) |
| Authorized Official Contact | 3086416661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 468 Chappell NE 69129-0468 Ph: (308) 874-2910 | 246 Vincent Ave Chappell NE 69129-9701 Ph: (308) 874-2910 |
| NPI Number | 1073045118 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073045118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6942 (Nebraska) | Primary |