| Dr Jack Carl Wesch, DDS | |
|
416 4th Street, Fairbury, NE 68352-2514 | |
| (402) 729-6177 | |
| (402) 729-6178 |
| Full Name | Dr Jack Carl Wesch |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 416 4th Street, Fairbury, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871712711 | NPI | - | NPPES |
| 10025367800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4052 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Carl Wesch, DDS 416 4th Street, Fairbury, NE 68352-2514 Ph: (402) 729-6177 | Dr Jack Carl Wesch, DDS 416 4th Street, Fairbury, NE 68352-2514 Ph: (402) 729-6177 |
Jason Grant, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 4th St, Fairbury, NE 68352 Phone: 402-729-6177 | |
Jerold Edward Ebke, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 7th St, Fairbury, NE 68352 Phone: 402-729-6277 Fax: 402-729-6296 |