| United States Air Force | |
|
2501 Capehart Rd Offutt Afb NE 68113-1043 | |
| (402) 232-2273 | |
| Not Available |
| Full Name | United States Air Force |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
| Authorized Official Name and Position | Kevin Brent Wiest (DENTIST) |
| Authorized Official Contact | 8013768189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Air Force 2501 Capehart Rd Offutt Afb NE 68113-1043 Ph: (402) 232-2273 | United States Air Force 2501 Capehart Rd Offutt Afb NE 68113-1043 Ph: (402) 232-2273 |
| NPI Number | 1326423724 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326423724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 94297759922 (Utah) | Primary |