| Kearney Pediatric Dentistry, L.l.c. | |
|
218 W 39th St Kearney NE 68845-2802 | |
| (308) 236-5437 | |
| Not Available |
| Full Name | Kearney Pediatric Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 218 W 39th St, Kearney, Nebraska |
| Authorized Official Name and Position | Brett J Carranza (OWNER) |
| Authorized Official Contact | 3082365437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kearney Pediatric Dentistry, L.l.c. 218 W 39th St Kearney NE 68845-2802 Ph: (308) 236-5437 | Kearney Pediatric Dentistry, L.l.c. 218 W 39th St Kearney NE 68845-2802 Ph: (308) 236-5437 |
| NPI Number | 1760910194 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760910194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6781 (Nebraska) | Primary |
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