Organization
GREAT PLAINS DENTAL SPECIALISTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DARRELL CLINE JR. D.D.S. (PRESIDENT)
(402) 721-9926
Entity
Organization
Contact information
Practice address
1005 E 23RD ST, SUITE 202, FREMONT, NE 68025-0800
(402) 721-9926
(402) 721-9268
Mailing address
1005 E 23RD ST, SUITE 202, FREMONT, NE 68025-0800
(402) 721-9926
(402) 721-9268
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
6510
NE
1223P0300X
Periodontics
Primary
6931
NE
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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