| Martin G. Tilley D.d.s., M.d., P.c. | |
|
516 W 39th St Suite D Tower Plaza Kearney NE 68845-2881 | |
| (308) 865-2577 | |
| Not Available |
| Full Name | Martin G. Tilley D.d.s., M.d., P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 516 W 39th St, Kearney, Nebraska |
| Authorized Official Name and Position | Martin George Tilley (OWNER) |
| Authorized Official Contact | 3088652577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin G. Tilley D.d.s., M.d., P.c. 516 W 39th St Suite D Tower Plaza Kearney NE 68845-2881 Ph: (308) 865-2577 | Martin G. Tilley D.d.s., M.d., P.c. 516 W 39th St Suite D Tower Plaza Kearney NE 68845-2881 Ph: (308) 865-2577 |
| NPI Number | 1780910026 |
|---|---|
| Provider Enumeration Date | 10/21/2009 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780910026 | NPI | - | NPPES |
| 3663 | Other | BLUE CROSS BLUE SHIELD | |
| 5400 | Other | BLUE CROSS BLUE SHIELD | |
| 01 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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