| Family 1st Dental Of Randolph | |
|
105 Broadway Randolph NE 68771 | |
| (402) 337-0089 | |
| Not Available |
| Full Name | Family 1st Dental Of Randolph |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Broadway, Randolph, Nebraska |
| Authorized Official Name and Position | Charles S. Skoglund (OWNER) |
| Authorized Official Contact | 4026443177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family 1st Dental Of Randolph 105 Broadway Randolph NE 68771 Ph: (402) 337-0089 | Family 1st Dental Of Randolph 105 Broadway Randolph NE 68771 Ph: (402) 337-0089 |
| NPI Number | 1336315837 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336315837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |