Organization
MARK SCHLOTHAUER, D.D.S. P.C.
Active
Other names
Gering Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SCHLOTHAUER D.D.S. (DENTIST)
(308) 436-3196
Entity
Organization
Contact information
Practice address
1270 SAGE ST, GERING, NE 69341-3228
(308) 436-3196
(308) 436-3197
Mailing address
1270 SAGE ST, GERING, NE 69341-3228
(308) 436-3196
(308) 436-3197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6371
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025590000
—
NE
Enumeration date
04/15/2008
Last updated
10/13/2011
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