| Mark Nielsen Dds, Pc | |
|
1908 N 203rd St Elkhorn NE 68022-2889 | |
| (402) 289-2036 | |
| (402) 289-5694 |
| Full Name | Mark Nielsen Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1908 N 203rd St, Elkhorn, Nebraska |
| Authorized Official Name and Position | Mark Andrew Nielsen (OWNER) |
| Authorized Official Contact | 4022892036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Nielsen Dds, Pc 1908 N 203rd St Elkhorn NE 68022-2889 Ph: (402) 289-2036 | Mark Nielsen Dds, Pc 1908 N 203rd St Elkhorn NE 68022-2889 Ph: (402) 289-2036 |
| NPI Number | 1780075408 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780075408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6379 (Nebraska) | Primary |
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