| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2277 22nd Ave, Columbus, Nebraska |
| Authorized Official Name and Position | Michael B Burwell (DENTIST) |
| Authorized Official Contact | 4025633631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2277 22nd Ave Columbus NE 68601 Ph: (402) 563-3631 | 2277 22nd Ave Columbus NE 68601 Ph: (402) 563-3631 |
| NPI Number | 1952524852 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952524852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6067 (Nebraska) | Primary |
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