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Individual

DR. JESSE D CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
122 W 6TH ST, YORK, NE 68467-2920
(402) 362-3379
(402) 362-3370
Mailing address
910 N LINCOLN ST, WEST POINT, NE 68788-1002
(402) 372-2418

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6758
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025157600
NE
Enumeration date
06/16/2008
Last updated
12/07/2023
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