Organization
SYRACUSE DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARROD R MCALEVY D.D.S. (OWNER/GENERAL DENTIST)
(308) 440-0274
Entity
Organization
Contact information
Practice address
935 1ST ST, SYRACUSE, NE 68446
(402) 269-3160
Mailing address
PO BOX L1, SYRACUSE, NE 68446
(308) 440-0274
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6772
NE
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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