| Pediatric Dental Specialists Of Greater Nebraska, P.c. | |
|
601 N St Joseph Ave Hastings NE 68902-0667 | |
| (402) 462-6557 | |
| (402) 461-4479 |
| Full Name | Pediatric Dental Specialists Of Greater Nebraska, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 N St Joseph Ave, Hastings, Nebraska |
| Authorized Official Name and Position | Dave F 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, P.c. Po Box 667 Hastings NE 68902-0667 Ph: (402) 462-6557 | Pediatric Dental Specialists Of Greater Nebraska, P.c. 601 N St Joseph Ave Hastings NE 68902-0667 Ph: (402) 462-6557 |
| NPI Number | 1467553362 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467553362 | NPI | - | NPPES |
| 10025036700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Pershing Orthodontics P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N Marian Rd, Hastings, NE 68901 Phone: 402-462-4173 Fax: 402-462-5516 | |
Charles D. Bauer, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 N Kansas Ave, Suite #202, Hastings, NE 68901 Phone: 402-462-6410 Fax: 402-462-4463 | |
Hastings Family Dental 1, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2628 W 2nd St, Hastings, NE 68901 Phone: 402-462-5546 | |
Central Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 West 9th St, Hastings, NE 68901 Phone: 402-463-0625 Fax: 402-463-2417 | |
Hastings Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 N Kansas Ave Ste 202, Hastings, NE 68901 Phone: 402-462-6410 Fax: 402-462-4463 |