| Sandhills Family Dental, P.c. | |
|
275 N Main St Valentine NE 69201-1840 | |
| (402) 376-1942 | |
| (402) 376-1835 |
| Full Name | Sandhills Family Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 275 N Main St, Valentine, Nebraska |
| Authorized Official Name and Position | Kelly Louise Russell (PARTNER, DENTIST) |
| Authorized Official Contact | 4023761942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Family Dental, P.c. 275 N Main St Valentine NE 69201-1840 Ph: (402) 376-1942 | Sandhills Family Dental, P.c. 275 N Main St Valentine NE 69201-1840 Ph: (402) 376-1942 |
| NPI Number | 1164856084 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 6709211030 |
|---|---|
| Medicare Enrollment ID | O20200115001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164856084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7069 (Nebraska) | Primary |
Valentine Dental Clinic Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 N Cherry St, Valentine, NE 69201 Phone: 402-376-3390 Fax: 402-376-2005 | |
Professional Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 N Main St, Valentine, NE 69201 Phone: 402-376-1942 Fax: 402-376-1835 | |
Valentine Dental Clinic Ii Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 N Cherry St, Valentine, NE 69201 Phone: 402-376-3390 Fax: 402-376-2005 | |
Valentine Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 N Cherry St, Valentine, NE 69201 Phone: 402-376-3390 Fax: 402-376-2005 |