| Treehouse Pediatric Dentistry | |
|
10520 S 204th St Ste C Gretna NE 68028-4185 | |
| (402) 403-6007 | |
| (402) 403-1243 |
| Full Name | Treehouse Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10520 S 204th St Ste C, Gretna, Nebraska |
| Authorized Official Name and Position | Shayna Mattox (OWNER) |
| Authorized Official Contact | 4023196688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treehouse Pediatric Dentistry 10520 S 204th St Ste C Gretna NE 68028-4185 Ph: (402) 403-6007 | Treehouse Pediatric Dentistry 10520 S 204th St Ste C Gretna NE 68028-4185 Ph: (402) 403-6007 |
| NPI Number | 1053185702 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053185702 | NPI | - | NPPES |
| 10029073600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Reichert Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11812 Standing Stone Drive, Gretna, NE 68028 Phone: 402-905-2880 | |
Flat Water Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11812 Standing Stone Dr, Gretna, NE 68028 Phone: 402-905-2880 Fax: 402-905-2550 | |
Missouri Valley Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Enterprise Dr, Suite #3, Gretna, NE 68028 Phone: 402-332-2748 | |
Nbd Gretna Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11812 Standing Stone Dr, Gretna, NE 68028 Phone: 402-905-2880 |