| Neligh Family Dentistry, Llc | |
|
322 M St Neligh NE 68756-1421 | |
| (402) 887-5214 | |
| Not Available |
| Full Name | Neligh Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 322 M St, Neligh, Nebraska |
| Authorized Official Name and Position | Timothy Brovont (OWNER) |
| Authorized Official Contact | 4028875214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neligh Family Dentistry, Llc 322 M St Neligh NE 68756-1421 Ph: (402) 887-5214 | Neligh Family Dentistry, Llc 322 M St Neligh NE 68756-1421 Ph: (402) 887-5214 |
| NPI Number | 1033684733 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033684733 | NPI | - | NPPES |
| 10026675000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Terry M. Jensen Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 M St, Neligh, NE 68756 Phone: 402-887-5214 Fax: 402-887-4904 |