United States Air Force | |
2501 Capehart Rd Offutt Afb NE 68113-1043 | |
(402) 232-2273 | |
Not Available |
Full Name | United States Air Force |
---|---|
Speciality | Clinic/center - Dental |
Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
Authorized Official Name and Position | Kevin Brent Wiest (DENTIST) |
Authorized Official Contact | 8013768189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
United States Air Force 2501 Capehart Rd Offutt Afb NE 68113-1043 Ph: (402) 232-2273 | United States Air Force 2501 Capehart Rd Offutt Afb NE 68113-1043 Ph: (402) 232-2273 |
NPI Number | 1326423724 |
---|---|
Provider Enumeration Date | 07/27/2015 |
Last Update Date | 07/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326423724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 94297759922 (Utah) | Primary |