| Plaza Ridge Dental | |
|
110 Eastside Blvd Beatrice NE 68310-3480 | |
| (402) 223-4140 | |
| (402) 228-1762 |
| Full Name | Plaza Ridge Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 Eastside Blvd, Beatrice, Nebraska |
| Authorized Official Name and Position | Jason Charles Roche (OWNER/DENTIST) |
| Authorized Official Contact | 4022234140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Ridge Dental 110 Eastside Blvd Suite A Beatrice NE 68310-3480 Ph: (402) 223-4140 | Plaza Ridge Dental 110 Eastside Blvd Beatrice NE 68310-3480 Ph: (402) 223-4140 |
| NPI Number | 1326419540 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326419540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6167 (Nebraska) | Primary |
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