| Ne Specialty Dental Services Llc | |
|
40 Northcrest Dr Ste 1 Council Bluffs IA 51503-1698 | |
| (712) 328-9605 | |
| Not Available |
| Full Name | Ne Specialty Dental Services Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 40 Northcrest Dr Ste 1, Council Bluffs, Iowa |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF CRED OF PR) |
| Authorized Official Contact | 6156780759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ne Specialty Dental Services Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Ne Specialty Dental Services Llc 40 Northcrest Dr Ste 1 Council Bluffs IA 51503-1698 Ph: (712) 328-9605 |
| NPI Number | 1841030681 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841030681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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