Organization
MILFORD DENTAL CLINIC
Active
Parent organization
MILFORD DENTAL CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILFORD DENTAL CLINIC, PC
Authorized official
JEFFERY SPAHR (DDS/OWNER)
(402) 761-2351
Entity
Organization
Contact information
Practice address
501 7TH ST, FAIRBURY, NE 68352-2309
(402) 729-6277
Mailing address
501 7TH ST, FAIRBURY, NE 68352-2309
(402) 729-6277
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6190
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
01/14/2019
Last updated
01/14/2019
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