Individual
MATTHEW JAMES COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1617 17TH AVE, CENTRAL CITY, NE 68826-1711
(308) 946-3841
Mailing address
1415 SAGE ST, GERING, NE 69341-3229
(308) 436-3491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6759
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05514
BCBS OF NE
NE
01
—
109685
METLIFE
NE
Enumeration date
09/08/2009
Last updated
09/07/2023
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