| Dr Derek A Fender, DDS | |
|
100 Indian Hills Drive, Po Box 250, Macy, NE 68039-0250 | |
| (402) 837-5381 | |
| (402) 837-5271 |
| Full Name | Dr Derek A Fender |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 100 Indian Hills Drive, Macy, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164539573 | NPI | - | NPPES |
| PENDING | Medicaid | NE | |
| 47084147000 | Medicaid | NE | |
| 688400 | Other | UNITED CONCORDIA ID # | |
| 7833 | Other | NE | BCBS ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5847 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek A Fender, DDS 100 Indian Hills Drive, Po Box 250, Macy, NE 68039-0250 Ph: (402) 837-5381 | Dr Derek A Fender, DDS 100 Indian Hills Drive, Po Box 250, Macy, NE 68039-0250 Ph: (402) 837-5381 |
Dr. Joseph Flaherty Churchill, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 100 Indian Hills Dr, Carl T. Curtis Health Education Center Dental Clinic, Macy, NE 68039 Phone: 402-837-5381 |