Individual
DR. JAY MICHAEL BERNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 W MAIN ST, HARTINGTON, NE 68739-3005
(402) 254-3969
(402) 254-3977
Mailing address
103 W MAIN ST, PO BOX 253, HARTINGTON, NE 68739-3005
(402) 254-3969
(402) 254-3977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6782
NE
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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