| Scottsbluff Dentist LLC | |
|
204 W 36th St Scottsbluff NE 69361-4654 | |
| (308) 632-7414 | |
| (308) 632-3879 |
| Full Name | Scottsbluff Dentist LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 W 36th St, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Cortny Sinks (OFFICE MANAGER) |
| Authorized Official Contact | 3086327414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsbluff Dentist LLC 204 W 36th St Scottsbluff NE 69361-4654 Ph: (308) 632-7414 | Scottsbluff Dentist LLC 204 W 36th St Scottsbluff NE 69361-4654 Ph: (308) 632-7414 |
| NPI Number | 1629588025 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629588025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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Caitlyn M. Lastovica, D.D.S. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W 38th St, Scottsbluff, NE 69361 Phone: 308-632-5131 |
Webb Orthodontics, PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W 38th St Ste 1, Scottsbluff, NE 69361 Phone: 308-630-0670 Fax: 308-630-0701 |