# MIDLANDS ORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1811188196
- **Authorized official:** JEAN ANN KERGER (MANAGER)
- **Authorized official phone:** (712) 642-4136

## Contact information

- **Practice address:** 712 FORT CROOK RD N, BELLEVUE, NE 68005-4558
- **Practice address phone:** (402) 733-6066
- **Practice address fax:** (402) 733-0899
- **Mailing address:** 712 FORT CROOK RD N, BELLEVUE, NE 68005-4558
- **Mailing address phone:** (402) 733-6066
- **Mailing address fax:** (402) 733-0899

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/05/2007