| Fremont Children's Dentistry, Llc | |
|
1947 E Military Ave Fremont NE 68025-5467 | |
| (402) 727-8700 | |
| (402) 727-8705 |
| Full Name | Fremont Children's Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1947 E Military Ave, Fremont, Nebraska |
| Authorized Official Name and Position | Vincent Rothe (OWNER) |
| Authorized Official Contact | 4027278700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Children's Dentistry, Llc 1947 E Military Ave Fremont NE 68025-5467 Ph: (402) 727-8700 | Fremont Children's Dentistry, Llc 1947 E Military Ave Fremont NE 68025-5467 Ph: (402) 727-8700 |
| NPI Number | 1083987911 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083987911 | NPI | - | NPPES |
| 10025787600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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