| Pediatric Dental Specialists Of Greater Nebraska - Kearney Llc | |
|
121 E 31st St Kearney NE 68847-3001 | |
| (308) 234-5437 | |
| Not Available |
| Full Name | Pediatric Dental Specialists Of Greater Nebraska - Kearney Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 121 E 31st St, Kearney, Nebraska |
| Authorized Official Name and Position | Dave Johnson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4024626557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists Of Greater Nebraska - Kearney Llc 121 E 31st St Kearney NE 68847-3001 Ph: (308) 234-5437 | Pediatric Dental Specialists Of Greater Nebraska - Kearney Llc 121 E 31st St Kearney NE 68847-3001 Ph: (308) 234-5437 |
| NPI Number | 1386339802 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386339802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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