Shadow Ridge Dental - Dental Clinic in Elkhorn, NE

Shadow Ridge Dental is a dental clinic (Dentist - General Practice) in Elkhorn, Nebraska. The current practice location for Shadow Ridge Dental is 19103 Mason Plz, Elkhorn, Nebraska. For appointments, you can reach them via phone at (402) 933-0525. The mailing address for Shadow Ridge Dental is 19103 Mason Plz, Elkhorn, Nebraska and phone number is (402) 933-0525.

Shadow Ridge Dental is licensed to practice in Nebraska (license number 4791) and its NPI number is 1073811014. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (402) 933-0525.

Contact Information

Shadow Ridge Dental
19103 Mason Plz
Elkhorn
NE 68022-5659
(402) 933-0525
(402) 933-2925

Dental Care Clinic Profile

Full NameShadow Ridge Dental
SpecialityDentist - General Practice
Location19103 Mason Plz, Elkhorn, Nebraska
Authorized Official Name and PositionJames W Becker (OWNER)
Authorized Official Contact4029330525
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shadow Ridge Dental
19103 Mason Plz
Elkhorn
NE 68022-5659

Ph: (402) 933-0525
Shadow Ridge Dental
19103 Mason Plz
Elkhorn
NE 68022-5659

Ph: (402) 933-0525

NPI Details:

NPI Number1073811014
Provider Enumeration Date02/28/2011
Last Update Date02/28/2011

Medical Identifiers

Medical identifiers for Shadow Ridge Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073811014NPI-NPPES
100251659-00MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4791 (Nebraska)Primary
1223G0001XDentist - General Practice 4488 (Nebraska)Secondary

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