| Missouri Valley Dental Group, Llc | |
|
4620 S 25th St Omaha NE 68107-1764 | |
| (402) 731-2100 | |
| Not Available |
| Full Name | Missouri Valley Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4620 S 25th St, Omaha, Nebraska |
| Authorized Official Name and Position | Jeffrey Garvey (OWNER) |
| Authorized Official Contact | 7123251544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Valley Dental Group, Llc 4620 S 25th St Omaha NE 68107-1764 Ph: (402) 731-2100 | Missouri Valley Dental Group, Llc 4620 S 25th St Omaha NE 68107-1764 Ph: (402) 731-2100 |
| NPI Number | 1407391907 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407391907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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