Tracy N Garcia, Dds, Llc | |
2623 Stockwell St Lincoln NE 68502-5755 | |
(402) 421-7500 | |
Not Available |
Full Name | Tracy N Garcia, Dds, Llc |
---|---|
Speciality | Dentist |
Location | 2623 Stockwell St, Lincoln, Nebraska |
Authorized Official Name and Position | Tracy Garcia (PRESIDENT) |
Authorized Official Contact | 4024217500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tracy N Garcia, Dds, Llc 2623 Stockwell St Lincoln NE 68502-5755 Ph: () - | Tracy N Garcia, Dds, Llc 2623 Stockwell St Lincoln NE 68502-5755 Ph: (402) 421-7500 |
NPI Number | 1245505049 |
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Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245505049 | NPI | - | NPPES |
10025834100 | Medicaid | NE | |
47076925700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6771 (Nebraska) | Primary |
122300000X | Dentist | 5917 (Nebraska) | Secondary |
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Dental Professionals Of Nebraska, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5640 South St Ste 1, Lincoln, NE 68506 Phone: 402-489-0787 | |
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