# PIERCE DENTAL OFFICE PC

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

## Provider details

- **NPI number:** 1699972943
- **Authorized official:** DR. TODD S WRAGGE DDS (PRESIDENT)
- **Authorized official phone:** (402) 329-6850

## Contact information

- **Practice address:** 102 E MAIN ST, PIERCE, NE 68767-1344
- **Practice address phone:** (402) 329-6850
- **Practice address fax:** (402) 329-4912
- **Mailing address:** 102 E MAIN ST, PIERCE, NE 68767-1344
- **Mailing address phone:** (402) 329-6850
- **Mailing address fax:** (402) 329-4912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6197 | NE | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6197 | DENTAL LICENSE NUMBER | NE |