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718 6th St Saint Paul NE 68873-2015 | |
| (308) 754-4296 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 718 6th St, Saint Paul, Nebraska |
| Authorized Official Name and Position | Andrew V Benson (OWNER/PRESIDENT) |
| Authorized Official Contact | 3087544296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
809 6th St Saint Paul NE 68873-1604 Ph: (308) 754-4296 | 718 6th St Saint Paul NE 68873-2015 Ph: (308) 754-4296 |
| NPI Number | 1770958308 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770958308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7018 (Nebraska) | Primary |