| Countryside Pediatric Dentistry | |
|
3310 S Cornhusker Dr York NE 68467 | |
| (402) 200-3971 | |
| Not Available |
| Full Name | Countryside Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3310 S Cornhusker Dr, York, Nebraska |
| Authorized Official Name and Position | Bailey Neville (OWNER, DENTIST) |
| Authorized Official Contact | 4028531771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Pediatric Dentistry 617 Road P York NE 68467-7555 Ph: () - | Countryside Pediatric Dentistry 3310 S Cornhusker Dr York NE 68467 Ph: (402) 200-3971 |
| NPI Number | 1336986447 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336986447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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