| Trail View Dental Llc | |
|
2916 W Stolley Park Rd Ste A Grand Island NE 68801-6808 | |
| (308) 380-7622 | |
| Not Available |
| Full Name | Trail View Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2916 W Stolley Park Rd Ste A, Grand Island, Nebraska |
| Authorized Official Name and Position | Jory T Crouch (OWNER/DENTIST) |
| Authorized Official Contact | 3083807622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trail View Dental Llc 2916 W Stolley Park Rd Ste A Grand Island NE 68801-6808 Ph: (083) 821-7343 | Trail View Dental Llc 2916 W Stolley Park Rd Ste A Grand Island NE 68801-6808 Ph: (308) 380-7622 |
| NPI Number | 1093458945 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093458945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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