Organization
MIDLANDS DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ANN KERGER (CORPORATE MANAGER)
(712) 642-4136
Entity
Organization
Contact information
Practice address
712 FORT CROOK RD N, BELLEVUE, NE 68005-4558
(402) 733-6066
(402) 733-0899
Mailing address
712 FORT CROOK RD N, BELLEVUE, NE 68005-4558
(402) 733-6066
(402) 733-0899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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