Individual
DR. TRAVIS RAYMOND DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 E 2ND ST, RUSHVILLE, NE 69360-5111
(308) 327-3141
Mailing address
106 E 2ND ST, RUSHVILLE, NE 69360-5111
(308) 327-3141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6942
NE
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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