| Dregalla Family Dentistry | |
|
402 Main St Pender NE 68047 | |
| (402) 385-3188 | |
| (402) 385-0165 |
| Full Name | Dregalla Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 402 Main St, Pender, Nebraska |
| Authorized Official Name and Position | Christine Dregalla (OWNER) |
| Authorized Official Contact | 4023853188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dregalla Family Dentistry 402 Main St Po Box 146 Pender NE 68047 Ph: (402) 385-3188 | Dregalla Family Dentistry 402 Main St Pender NE 68047 Ph: (402) 385-3188 |
| NPI Number | 1609318849 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609318849 | NPI | - | NPPES |
| 100-257-691-00 | Medicaid | NE | |
| 100-257-690-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |