| Simply Smiles Dentistry Of Columbus Llc | |
|
2526 17th St Columbus NE 68601-4349 | |
| (402) 564-4408 | |
| (402) 564-4409 |
| Full Name | Simply Smiles Dentistry Of Columbus Llc |
|---|---|
| Speciality | Dentist |
| Location | 2526 17th St, Columbus, Nebraska |
| Authorized Official Name and Position | Rebecca Ann Ronkar-hissong (DENTIST/OWNER) |
| Authorized Official Contact | 4025644408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smiles Dentistry Of Columbus Llc 2526 17th St Columbus NE 68601-4349 Ph: (402) 564-4408 | Simply Smiles Dentistry Of Columbus Llc 2526 17th St Columbus NE 68601-4349 Ph: (402) 564-4408 |
| NPI Number | 1013715531 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013715531 | NPI | - | NPPES |
| 183135803 | Medicaid | NE | |
| 1063515500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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