Organization
GIBBON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R HERRMANN DDS (VICE PRESIDENT)
(308) 468-5500
Entity
Organization
Contact information
Practice address
812 FIRST STREET BOX 459, GIBBON, NE 68840
(308) 468-5500
Mailing address
812 FIRST STREET BOX 459, GIBBON, NE 68840
(308) 468-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025129300
—
NE
Enumeration date
10/16/2006
Last updated
08/22/2020
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