| Pediatric Dental Specialists Of Greater Nebraska, P.c. | |
|
601 N St Joseph Ave Hastings NE 68902-0667 | |
| (402) 462-6557 | |
| (402) 461-4479 |
| Full Name | Pediatric Dental Specialists Of Greater Nebraska, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 N St Joseph Ave, Hastings, Nebraska |
| Authorized Official Name and Position | Dave F Johnson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4024626557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists Of Greater Nebraska, P.c. Po Box 667 Hastings NE 68902-0667 Ph: (402) 462-6557 | Pediatric Dental Specialists Of Greater Nebraska, P.c. 601 N St Joseph Ave Hastings NE 68902-0667 Ph: (402) 462-6557 |
| NPI Number | 1467553362 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467553362 | NPI | - | NPPES |
| 10025036700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
News Archive
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