| Wahoo Dental Associates, P.c. | |
|
357 E 4th St Wahoo NE 68066-1920 | |
| (402) 443-5959 | |
| Not Available |
| Full Name | Wahoo Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 357 E 4th St, Wahoo, Nebraska |
| Authorized Official Name and Position | Jason P. Glock (PARTNER) |
| Authorized Official Contact | 4024435959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wahoo Dental Associates, P.c. 357 E 4th St Wahoo NE 68066-1920 Ph: (402) 443-5959 | Wahoo Dental Associates, P.c. 357 E 4th St Wahoo NE 68066-1920 Ph: (402) 443-5959 |
| NPI Number | 1033123336 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 04/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033123336 | NPI | - | NPPES |
| 10025583000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6253 (Nebraska) | Primary |
| 1223G0001X | Dentist - General Practice | 6635 (Nebraska) | Secondary |
Quadrant Dental Wahoo Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 N Broadway St, Wahoo, NE 68066 Phone: 402-443-4989 |