| Pierce Dental Office Pc | |
|
102 E Main St Pierce NE 68767-1344 | |
| (402) 329-6850 | |
| (402) 329-4912 |
| Full Name | Pierce Dental Office Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 E Main St, Pierce, Nebraska |
| Authorized Official Name and Position | Todd S Wragge (PRESIDENT) |
| Authorized Official Contact | 4023296850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierce Dental Office Pc 102 E Main St Pierce NE 68767-1344 Ph: (402) 329-6850 | Pierce Dental Office Pc 102 E Main St Pierce NE 68767-1344 Ph: (402) 329-6850 |
| NPI Number | 1699972943 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699972943 | NPI | - | NPPES |
| 6197 | Other | NE | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6197 (Nebraska) | Primary |