# SANDHILLS FAMILY DENTAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164856084
- **Authorized official:** DR. KELLY LOUISE RUSSELL D.D.S (PARTNER, DENTIST)
- **Authorized official phone:** (402) 376-1942

## Contact information

- **Practice address:** 275 N MAIN ST, VALENTINE, NE 69201-1840
- **Practice address phone:** (402) 376-1942
- **Practice address fax:** (402) 376-1835
- **Mailing address:** 275 N MAIN ST, VALENTINE, NE 69201-1840
- **Mailing address phone:** (402) 376-1942
- **Mailing address fax:** (402) 376-1835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7069 | NE | Yes |

## Other

- **Enumeration date:** 08/27/2013
- **Last updated:** 08/27/2013