Individual
DR. BRYAN D DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 N MAIN ST, OSCEOLA, NE 68651-5512
(402) 747-4371
Mailing address
240 N MAIN ST, OSCEOLA, NE 68651-5512
(402) 747-4371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5266
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91181518701
—
NE
Enumeration date
09/20/2006
Last updated
07/08/2007
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