# GV DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gufford Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205389301
- **Authorized official:** DR. JUSTIN S GUFFORD DDS (DR./ OWNER)
- **Authorized official phone:** (402) 721-8770

## Contact information

- **Practice address:** 1605 E MILITARY AVE, FREMONT, NE 68025-5463
- **Practice address phone:** (402) 721-8770
- **Mailing address:** 1605 E MILITARY AVE, FREMONT, NE 68025-5463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4639 | NE | Yes |
| 1223G0001X | General Practice Dentistry | 7221 | NE | — |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 09/22/2016