# RICHARD T. KRUEGER ET AL PTNR

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

## Provider details

- **NPI number:** 1245504786
- **Authorized official:** DR. TOM KRUEGER (DENTIST)
- **Authorized official phone:** (308) 874-2910

## Contact information

- **Practice address:** 246 VINCENT AVE, CHAPPELL, NE 69129-9701
- **Practice address phone:** (308) 874-2910
- **Practice address fax:** (308) 874-2459
- **Mailing address:** PO BOX 468, CHAPPELL, NE 69129-0468
- **Mailing address phone:** (308) 874-2910
- **Mailing address fax:** (308) 874-2459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4753 | NE | — |
| 1223G0001X | General Practice Dentistry | 4756 | NE | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012