| West Gate Dental | |
|
251 Capitol Beach Blvd Ste 14 Lincoln NE 68528-1647 | |
| (402) 475-8710 | |
| (402) 475-8713 |
| Full Name | West Gate Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 251 Capitol Beach Blvd Ste 14, Lincoln, Nebraska |
| Authorized Official Name and Position | Rebecca Jo Sowers (OWNER/PRESIDENT) |
| Authorized Official Contact | 4024758710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Gate Dental 251 Capitol Beach Blvd Ste 14 Lincoln NE 68528-1647 Ph: (402) 475-8710 | West Gate Dental 251 Capitol Beach Blvd Ste 14 Lincoln NE 68528-1647 Ph: (402) 475-8710 |
| NPI Number | 1174895015 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174895015 | NPI | - | NPPES |
| 10025418500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6213 (Nebraska) | Primary |
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