| Great Plains Dental Specialists P.c. | |
|
1005 E 23rd St Suite 202 Fremont NE 68025-0800 | |
| (402) 721-9926 | |
| (402) 721-9268 |
| Full Name | Great Plains Dental Specialists P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1005 E 23rd St, Fremont, Nebraska |
| Authorized Official Name and Position | Robert Darrell Cline (PRESIDENT) |
| Authorized Official Contact | 4027219926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Plains Dental Specialists P.c. 1005 E 23rd St Suite 202 Fremont NE 68025-0800 Ph: (402) 721-9926 | Great Plains Dental Specialists P.c. 1005 E 23rd St Suite 202 Fremont NE 68025-0800 Ph: (402) 721-9926 |
| NPI Number | 1023450137 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023450137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 6510 (Nebraska) | Secondary |
| 1223P0300X | Dentist - Periodontics | 6931 (Nebraska) | Primary |
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