# MARK SCHLOTHAUER, D.D.S. P.C.

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

## Provider details

- **NPI number:** 1689848202
- **Authorized official:** DR. MARK A SCHLOTHAUER D.D.S. (DENTIST)
- **Authorized official phone:** (308) 436-3196

## Contact information

- **Practice address:** 1270 SAGE ST, GERING, NE 69341-3228
- **Practice address phone:** (308) 436-3196
- **Practice address fax:** (308) 436-3197
- **Mailing address:** 1270 SAGE ST, GERING, NE 69341-3228
- **Mailing address phone:** (308) 436-3196
- **Mailing address fax:** (308) 436-3197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6371 | NE | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 10/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025590000 | — | NE |