Organization
COUNTRYSIDE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAILEY NEVILLE DDS (OWNER, DENTIST)
(402) 853-1771
Entity
Organization
Contact information
Practice address
3310 S CORNHUSKER DR, YORK, NE 68467
(402) 200-3971
Mailing address
617 ROAD P, YORK, NE 68467-7555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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