| Kearney Dental Clinic | |
|
4106 6th Ave Kearney NE 68845-3395 | |
| (308) 237-3479 | |
| (308) 236-9642 |
| Full Name | Kearney Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4106 6th Ave, Kearney, Nebraska |
| Authorized Official Name and Position | Katherine Goodwin (OWNER) |
| Authorized Official Contact | 3082373479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kearney Dental Clinic Po Box 3198 Kearney NE 68848-3198 Ph: (308) 237-3479 | Kearney Dental Clinic 4106 6th Ave Kearney NE 68845-3395 Ph: (308) 237-3479 |
| NPI Number | 1619564069 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619564069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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