| Terry L. Malcolm, Dds, Pc | |
|
1910 Chase St Falls City NE 68355-2021 | |
| (402) 245-4636 | |
| (402) 245-3325 |
| Full Name | Terry L. Malcolm, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1910 Chase St, Falls City, Nebraska |
| Authorized Official Name and Position | Terry Malcolm (OWNER/PRESIDENT) |
| Authorized Official Contact | 4022454636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry L. Malcolm, Dds, Pc Po Box 188 1910 Chase Street Falls City NE 68355-0188 Ph: (402) 245-4636 | Terry L. Malcolm, Dds, Pc 1910 Chase St Falls City NE 68355-2021 Ph: (402) 245-4636 |
| NPI Number | 1962516781 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962516781 | NPI | - | NPPES |
| 10025280600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5779 (Nebraska) | Primary |