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GREAT PLAINS DENTAL SPECIALISTS P.C. NPI 1023450137


NPI Information

NPI: 1023450137
Provider Name: GREAT PLAINS DENTAL SPECIALISTS P.C.
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1005 E 23RD ST
SUITE 202
FREMONT, NE
ZIP 68025
Phone: (402) 721-9926
Get Directions

GREAT PLAINS DENTAL SPECIALISTS P.C. is a periodontics dentist in Fremont, NE. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GREAT PLAINS DENTAL SPECIALISTS P.C. NPI is 1023450137. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1005 E 23RD ST
SUITE 202
FREMONT, NE
ZIP 68025-800
Phone: (402) 721-9926
Fax: (402) 721-9268

The provider's authorized official is Robert Darrell Cline .
The authorized official title is President and has the following contact phone number (402) 721-9926.

The enumeration date for this NPI number is 7/18/2013 and was last updated on 7/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics6510NEBRASKANo
21223P0300XDentistPeriodontics6931NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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