| Rainbow Dental Center | |
|
8041 S 83rd Ave Lavista NE 68128-2490 | |
| (402) 884-1174 | |
| (402) 884-5567 |
| Full Name | Rainbow Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8041 S 83rd Ave, Lavista, Nebraska |
| Authorized Official Name and Position | Holly V Stoakes (ACCOUNT MANAGER) |
| Authorized Official Contact | 4028841174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Dental Center 8041 S 83rd Ave Lavista NE 68128-2490 Ph: (402) 884-1174 | Rainbow Dental Center 8041 S 83rd Ave Lavista NE 68128-2490 Ph: (402) 884-1174 |
| NPI Number | 1518137991 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518137991 | NPI | - | NPPES |
| 10025389000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mark Frill Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9731 Giles Road, Lavista, NE 68128 Phone: 402-537-4620 Fax: 402-537-4346 |