Phelps Family Dentistry | |
221 S Jeffers St Suite #1 North Platte NE 69101-5371 | |
(308) 534-4040 | |
(308) 534-1087 |
Full Name | Phelps Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 221 S Jeffers St, North Platte, Nebraska |
Authorized Official Name and Position | Lannae Lynn Phelps (PRESIDENT) |
Authorized Official Contact | 3085344040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phelps Family Dentistry Po Box 846 North Platte NE 69103-0846 Ph: (308) 534-4040 | Phelps Family Dentistry 221 S Jeffers St Suite #1 North Platte NE 69101-5371 Ph: (308) 534-4040 |
NPI Number | 1306055504 |
---|---|
Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306055504 | NPI | - | NPPES |
10025389900 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6557 (Nebraska) | Primary |
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