| Milford Dental Clinic, Pc | |
|
112 B Street Milford NE 68405-0612 | |
| (402) 761-2351 | |
| (402) 761-3766 |
| Full Name | Milford Dental Clinic, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 112 B Street, Milford, Nebraska |
| Authorized Official Name and Position | Jeffery D Spahr (OWNER/DENTIST) |
| Authorized Official Contact | 4027612351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milford Dental Clinic, Pc Po Box B Milford NE 68405-0612 Ph: (402) 761-2351 | Milford Dental Clinic, Pc 112 B Street Milford NE 68405-0612 Ph: (402) 761-2351 |
| NPI Number | 1124207303 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124207303 | NPI | - | NPPES |
| 10025610500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6190 (Nebraska) | Primary |
| 261QD0000X | Clinic/center - Dental | 6193 (Nebraska) | Secondary |