Central City Family Dental | |
2602 18th Ave Central City NE 68826-9761 | |
(308) 946-3059 | |
(308) 946-3472 |
Full Name | Central City Family Dental |
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Speciality | Dentist |
Location | 2602 18th Ave, Central City, Nebraska |
Authorized Official Name and Position | Kristen R Hermansen-ryan (OWNER) |
Authorized Official Contact | 3089463059 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central City Family Dental 2602 18th Ave P.o. Box 407 Central City NE 68826-9761 Ph: (308) 946-3059 | Central City Family Dental 2602 18th Ave Central City NE 68826-9761 Ph: (308) 946-3059 |
NPI Number | 1801165428 |
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Provider Enumeration Date | 12/28/2011 |
Last Update Date | 12/28/2011 |
Identifier | Type | State | Issuer |
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1801165428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6693 (Nebraska) | Primary |
Family 1st Dental Of Central City Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1617 17th Ave, Central City, NE 68826 Phone: 308-946-3841 |