| Tri-valley Dental P.c. | |
|
1689 E 23rd St Fremont NE 68025-2435 | |
| (402) 727-9292 | |
| (402) 727-9299 |
| Full Name | Tri-valley Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1689 E 23rd St, Fremont, Nebraska |
| Authorized Official Name and Position | Gary Wentworth May (PRESIDENT) |
| Authorized Official Contact | 4027279292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-valley Dental P.c. 1689 E 23rd St Fremont NE 68025-2435 Ph: (402) 727-9292 | Tri-valley Dental P.c. 1689 E 23rd St Fremont NE 68025-2435 Ph: (402) 727-9292 |
| NPI Number | 1679653661 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679653661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3956 (Nebraska) | Primary |
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