Organization
GREAT PLAINS DENTAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANIS J APPLEGATE (OFFICE MANAGER)
(308) 236-7306
Entity
Organization
Contact information
Practice address
4701 1ST AVENUE PL, KEARNEY, NE 68847-8355
(308) 236-7306
Mailing address
4701 1ST AVENUE PL, KEARNEY, NE 68847-8355
(308) 236-7306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5047
NE
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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