| Gibbon Family Dentistry | |
|
812 First Street Box 459 Gibbon NE 68840 | |
| (308) 468-5500 | |
| Not Available |
| Full Name | Gibbon Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 812 First Street Box 459, Gibbon, Nebraska |
| Authorized Official Name and Position | John R Herrmann (VICE PRESIDENT) |
| Authorized Official Contact | 3084685500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibbon Family Dentistry 812 First Street Box 459 Gibbon NE 68840 Ph: (308) 468-5500 | Gibbon Family Dentistry 812 First Street Box 459 Gibbon NE 68840 Ph: (308) 468-5500 |
| NPI Number | 1972683738 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972683738 | NPI | - | NPPES |
| 10025129300 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |