| Phelps Family Dentistry | |
|
221 S Jeffers St Suite #1 North Platte NE 69101-5371 | |
| (308) 534-4040 | |
| (308) 534-1087 |
| Full Name | Phelps Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 221 S Jeffers St, North Platte, Nebraska |
| Authorized Official Name and Position | Lannae Lynn Phelps (PRESIDENT) |
| Authorized Official Contact | 3085344040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phelps Family Dentistry Po Box 846 North Platte NE 69103-0846 Ph: (308) 534-4040 | Phelps Family Dentistry 221 S Jeffers St Suite #1 North Platte NE 69101-5371 Ph: (308) 534-4040 |
| NPI Number | 1306055504 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306055504 | NPI | - | NPPES |
| 10025389900 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6557 (Nebraska) | Primary |
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