| Horizon West Dental | |
|
705 1st St Box 488 Crawford NE 69339-1186 | |
| (308) 665-2025 | |
| (308) 665-1506 |
| Full Name | Horizon West Dental |
|---|---|
| Speciality | Dentist |
| Location | 705 1st St, Crawford, Nebraska |
| Authorized Official Name and Position | Justin Moody (PARTNER) |
| Authorized Official Contact | 6057165622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon West Dental 330 E Stumer Rd Rapid City SD 57701-6406 Ph: (605) 716-5622 | Horizon West Dental 705 1st St Box 488 Crawford NE 69339-1186 Ph: (308) 665-2025 |
| NPI Number | 1821334061 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821334061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6124 (Nebraska) | Primary |
Justin Moody Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 First Street, Crawford, NE 69339 Phone: 308-665-2025 Fax: 308-665-1506 |