Organization
HEARTLAND PERIODONTICS AND IMPLANT DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN J SANDERFER DDS (PRESIDENT - HEARTLAND PERIODONTICS)
(308) 381-2010
Entity
Organization
Contact information
Practice address
2414 W FAIDLEY AVENUE SUITE 102, GRAND ISLAND, NE 68803-4327
(308) 381-2010
(308) 381-5726
Mailing address
2414 W FAIDLEY AVENUE SUITE 102, GRAND ISLAND, NE 68803-4327
(308) 381-2010
(308) 381-5726
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6223
NE
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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