Pierce Dental Office Pc | |
102 E Main St Pierce NE 68767-1344 | |
(402) 329-6850 | |
(402) 329-4912 |
Full Name | Pierce Dental Office Pc |
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Speciality | Dentist - General Practice |
Location | 102 E Main St, Pierce, Nebraska |
Authorized Official Name and Position | Todd S Wragge (PRESIDENT) |
Authorized Official Contact | 4023296850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pierce Dental Office Pc 102 E Main St Pierce NE 68767-1344 Ph: (402) 329-6850 | Pierce Dental Office Pc 102 E Main St Pierce NE 68767-1344 Ph: (402) 329-6850 |
NPI Number | 1699972943 |
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Provider Enumeration Date | 06/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699972943 | NPI | - | NPPES |
6197 | Other | NE | DENTAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6197 (Nebraska) | Primary |