PEDIATRIC DENTISTRY OF NEBRASKA NPI 1508375023

NPI Information

PEDIATRIC DENTISTRY OF NEBRASKA is a pediatric dentistry dentist in Scottsbluff, NE. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTISTRY OF NEBRASKA NPI is 1508375023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

820 W 42ND ST STE 1400
SCOTTSBLUFF, NE
ZIP 69361-704
Phone: (307) 778-7100

The provider's authorized official is Jonnette Jones .
The authorized official title is Office Manager and has the following contact phone number (307) 778-7100.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 9/27/2017.

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:

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