| Mark Schlothauer, D.d.s. P.c. | |
|
1270 Sage St Gering NE 69341-3228 | |
| (308) 436-3196 | |
| (308) 436-3197 |
| Full Name | Mark Schlothauer, D.d.s. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1270 Sage St, Gering, Nebraska |
| Authorized Official Name and Position | Mark A Schlothauer (DENTIST) |
| Authorized Official Contact | 3084363196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Schlothauer, D.d.s. P.c. 1270 Sage St Gering NE 69341-3228 Ph: (308) 436-3196 | Mark Schlothauer, D.d.s. P.c. 1270 Sage St Gering NE 69341-3228 Ph: (308) 436-3196 |
| NPI Number | 1689848202 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689848202 | NPI | - | NPPES |
| 10025590000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6371 (Nebraska) | Primary |
Mpda Gering Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Sage St, Gering, NE 69341 Phone: 308-436-3196 Fax: 308-436-3197 | |
Community Action Partnership Of Western Nebraska Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 Crescent Dr, Gering, NE 69341 Phone: 308-632-2540 Fax: 308-633-2650 |