Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 124 N 5th St, Hebron, Nebraska |
Authorized Official Name and Position | James K. Cossaart (DENTIST) |
Authorized Official Contact | 4027687252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
124 N 5th St Po Box 76 Hebron NE 68370-1512 Ph: (402) 768-7252 | 124 N 5th St Hebron NE 68370-1512 Ph: (402) 768-7252 |
NPI Number | 1912292038 |
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Provider Enumeration Date | 06/16/2011 |
Last Update Date | 05/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912292038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6745 (Nebraska) | Primary |
1223G0001X | Dentist - General Practice | 4945 (Nebraska) | Secondary |