| Siouxland Dental Health - South Sioux, Llc | |
|
2600 Cornhusker Dr South Sioux City NE 68776-3905 | |
| (402) 494-2692 | |
| (402) 494-2701 |
| Full Name | Siouxland Dental Health - South Sioux, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2600 Cornhusker Dr, South Sioux City, Nebraska |
| Authorized Official Name and Position | Ronel Mccombs (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siouxland Dental Health - South Sioux, Llc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8500 | Siouxland Dental Health - South Sioux, Llc 2600 Cornhusker Dr South Sioux City NE 68776-3905 Ph: (402) 494-2692 |
| NPI Number | 1386981561 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386981561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Restoreu Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W 39th St, South Sioux City, NE 68776 Phone: 402-494-4924 | |
Family 1st Dental Of South Sioux Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Plaza Dr, Box 430, South Sioux City, NE 68776 Phone: 402-494-2144 |