Organization
KEARNEY DENTAL CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R BUSH D.D.S. (PRESIDENT/OWNER)
(308) 237-3479
Entity
Organization
Contact information
Practice address
4106 6TH AVE, KEARNEY, NE 68845-3395
(308) 237-3281
(308) 236-9642
Mailing address
4106 6TH AVE, KEARNEY, NE 68845-3395
(308) 237-3479
(308) 236-9642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5333
NE
1223G0001X
General Practice Dentistry
6551
NE
Other
Enumeration date
10/29/2007
Last updated
04/20/2008
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