| Dr. Kenneth Tusha Dds | |
|
309 W Main St Bloomfield NE 68718-4035 | |
| (402) 668-2297 | |
| (402) 668-2297 |
| Full Name | Dr. Kenneth Tusha Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 309 W Main St, Bloomfield, Nebraska |
| Authorized Official Name and Position | Kenneth R. Tusha (PROVIDER) |
| Authorized Official Contact | 4023947254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kenneth Tusha Dds 309 W Main St Bloomfield NE 68718-4035 Ph: (402) 668-2297 | Dr. Kenneth Tusha Dds 309 W Main St Bloomfield NE 68718-4035 Ph: (402) 668-2297 |
| NPI Number | 1366922676 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366922676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5042 (Nebraska) | Primary |