| Willow Dental Papillion Llc | |
|
8410 S 73rd Plz Ste 106 Papillion NE 68046-1514 | |
| (402) 592-2219 | |
| Not Available |
| Full Name | Willow Dental Papillion Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8410 S 73rd Plz Ste 106, Papillion, Nebraska |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Dental Papillion Llc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Willow Dental Papillion Llc 8410 S 73rd Plz Ste 106 Papillion NE 68046-1514 Ph: (402) 592-2219 |
| NPI Number | 1629708417 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629708417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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