Grand Island Dental Center, Llc, Pc | |
2414 W Faidley Ave Suite 101 Grand Island NE 68803-4368 | |
(308) 382-7813 | |
(308) 385-0370 |
Full Name | Grand Island Dental Center, Llc, Pc |
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Speciality | Dentist - General Practice |
Location | 2414 W Faidley Ave, Grand Island, Nebraska |
Authorized Official Name and Position | Shay P Mcgowan (EQUAL PARTNER) |
Authorized Official Contact | 3083827813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grand Island Dental Center, Llc, Pc 2414 W Faidley Ave Suite 101 Grand Island NE 68803-4368 Ph: (308) 382-7813 | Grand Island Dental Center, Llc, Pc 2414 W Faidley Ave Suite 101 Grand Island NE 68803-4368 Ph: (308) 382-7813 |
NPI Number | 1982860649 |
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Provider Enumeration Date | 08/01/2008 |
Last Update Date | 08/01/2008 |
Identifier | Type | State | Issuer |
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1982860649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Nebraska) | Primary |
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Cj Stec Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-4440 | |
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