| Se Nebraska Dental Group, Pc | |
|
105 W Eldora Ave Weeping Water NE 68463-4201 | |
| (402) 267-2325 | |
| (402) 267-2725 |
| Full Name | Se Nebraska Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 105 W Eldora Ave, Weeping Water, Nebraska |
| Authorized Official Name and Position | Matthew C Neumann (OWNER) |
| Authorized Official Contact | 4022672325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Se Nebraska Dental Group, Pc 105 W Eldora Ave P.o. Box 403 Weeping Water NE 68463-4201 Ph: (402) 267-2325 | Se Nebraska Dental Group, Pc 105 W Eldora Ave Weeping Water NE 68463-4201 Ph: (402) 267-2325 |
| NPI Number | 1992097778 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992097778 | NPI | - | NPPES |
| 10025741800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6172 (Nebraska) | Secondary |
| 122300000X | Dentist | 6707 (Nebraska) | Primary |