Heartland Periodontics And Implant Dentistry Pc | |
2414 W Faidley Avenue Suite 102 Grand Island NE 68803-4327 | |
(308) 381-2010 | |
(308) 381-5726 |
Full Name | Heartland Periodontics And Implant Dentistry Pc |
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Speciality | Dentist - Periodontics |
Location | 2414 W Faidley Avenue Suite 102, Grand Island, Nebraska |
Authorized Official Name and Position | Van J Sanderfer (PRESIDENT - HEARTLAND PERIODONTICS) |
Authorized Official Contact | 3083812010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heartland Periodontics And Implant Dentistry Pc 2414 W Faidley Avenue Suite 102 Grand Island NE 68803-4327 Ph: (308) 381-2010 | Heartland Periodontics And Implant Dentistry Pc 2414 W Faidley Avenue Suite 102 Grand Island NE 68803-4327 Ph: (308) 381-2010 |
NPI Number | 1235243320 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235243320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 6223 (Nebraska) | Primary |
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Trail View Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2916 W Stolley Park Rd Ste A, Grand Island, NE 68801 Phone: 308-380-7622 | |
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