| Red Willow Dental, Llc | |
|
521 Norris Ave Mc Cook NE 69001-2005 | |
| (308) 345-5416 | |
| (308) 345-5484 |
| Full Name | Red Willow Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 521 Norris Ave, Mc Cook, Nebraska |
| Authorized Official Name and Position | Jeff Blomstedt (OWNER) |
| Authorized Official Contact | 3083455416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Willow Dental, Llc Po Box 98 Mc Cook NE 69001-0098 Ph: (308) 345-5416 | Red Willow Dental, Llc 521 Norris Ave Mc Cook NE 69001-2005 Ph: (308) 345-5416 |
| NPI Number | 1811667421 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811667421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
John Haugen Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W 9th St, Mc Cook, NE 69001 Phone: 308-345-1449 | |
Southwest Nebraska Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 W J St, Mc Cook, NE 69001 Phone: 308-345-2273 Fax: 308-345-2750 |