| Newman Grove Family Dentistry | |
|
412 Hale Ave Newman Grove NE 68758 | |
| (402) 447-6469 | |
| (402) 447-6098 |
| Full Name | Newman Grove Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 412 Hale Ave, Newman Grove, Nebraska |
| Authorized Official Name and Position | Thu Thanh Thuong (PRESIDENT) |
| Authorized Official Contact | 4024476469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newman Grove Family Dentistry Po Box 45 412 Hale Ave Newman Grove NE 68758 Ph: (402) 447-6469 | Newman Grove Family Dentistry 412 Hale Ave Newman Grove NE 68758 Ph: (402) 447-6469 |
| NPI Number | 1609851799 |
|---|---|
| Provider Enumeration Date | 12/12/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609851799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5593 (Nebraska) | Primary |
| 122300000X | Dentist | M900 (South Dakota) | Secondary |
| 122300000X | Dentist | 37614 (California) | Secondary |