| Fremont Children's Dentistry | |
|
1947 E Military Ave Fremont NE 68025-5467 | |
| (402) 727-8700 | |
| (402) 727-8705 |
| Full Name | Fremont Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1947 E Military Ave, Fremont, Nebraska |
| Authorized Official Name and Position | Kevin Patrick Mckenna (PRESIDENT) |
| Authorized Official Contact | 4023668141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Children's Dentistry 1947 E Military Ave Fremont NE 68025-5467 Ph: (402) 727-8700 | Fremont Children's Dentistry 1947 E Military Ave Fremont NE 68025-5467 Ph: (402) 727-8700 |
| NPI Number | 1720749120 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720749120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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