| My Pediatric Dentist | |
|
1411 J F Kennedy Dr Bellevue NE 68005-3639 | |
| (402) 291-6577 | |
| Not Available |
| Full Name | My Pediatric Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1411 J F Kennedy Dr, Bellevue, Nebraska |
| Authorized Official Name and Position | Ryan Thomas Hajek (OWNER) |
| Authorized Official Contact | 6053547077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Pediatric Dentist 1411 Jfk Drive Bellevue NE 68005-0011 Ph: () - | My Pediatric Dentist 1411 J F Kennedy Dr Bellevue NE 68005-3639 Ph: (402) 291-6577 |
| NPI Number | 1427591031 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427591031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7030 (Nebraska) | Primary |
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