Organization
GLEASON FAMILY DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. GLEASON D.D.S. (PRESIDENT)
(402) 228-3119
Entity
Organization
Contact information
Practice address
512 LINCOLN ST, BEATRICE, NE 68310-2932
(402) 228-3119
(402) 228-3350
Mailing address
512 LINCOLN ST, BEATRICE, NE 68310-2932
(402) 228-3119
(402) 228-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3723
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400496905-13
—
NE
Enumeration date
04/17/2007
Last updated
08/22/2020
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