| Pedersen Dental | |
|
1005 A St Schuyler NE 68661-1927 | |
| (402) 352-5566 | |
| Not Available |
| Full Name | Pedersen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1005 A St, Schuyler, Nebraska |
| Authorized Official Name and Position | Todd Leroy Pedersen (PRESIDENT) |
| Authorized Official Contact | 4023525566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedersen Dental 1005 A St Schuyler NE 68661-1927 Ph: () - | Pedersen Dental 1005 A St Schuyler NE 68661-1927 Ph: (402) 352-5566 |
| NPI Number | 1750456950 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750456950 | NPI | - | NPPES |
| 05193 | Other | NE | BLUE CROSS BLUE SHIELD |
| 100251937-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5633 (Nebraska) | Primary |
Family 1st Dental Of Schuyler Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 12th St, Schuyler, NE 68661 Phone: 402-352-2678 | |
Camp Smile Nebraska Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 N Shore Dr, Schuyler, NE 68661 Phone: 612-234-4142 |