| Gateway Dental | |
|
770 N Cotner Blvd Ste 202 Lincoln NE 68505-2344 | |
| (402) 434-2360 | |
| (402) 434-2361 |
| Full Name | Gateway Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 770 N Cotner Blvd Ste 202, Lincoln, Nebraska |
| Authorized Official Name and Position | Layusiana Ciobanu (OWNER) |
| Authorized Official Contact | 4023095436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental 3210 S 81st St Lincoln NE 68506-7339 Ph: (402) 309-5436 | Gateway Dental 770 N Cotner Blvd Ste 202 Lincoln NE 68505-2344 Ph: (402) 434-2360 |
| NPI Number | 1073221768 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 4183098692 |
|---|---|
| Medicare Enrollment ID | O20230324000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073221768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Layusiana Ciobanu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730319815 PECOS PAC ID: 7315186020 Enrollment ID: I20200625001927 |
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