Plattsmouth Dental
Dentist in Plattsmouth, NE. Organization (NPI-2).
NPI number1629601075
StatusActive
Last updated in NPPESFeb 13, 2020
Details
- NPI
- 1629601075
- Entity type
- Organization (NPI-2)
- Legal business name
- Plattsmouth Dental
- Organization subpart
- No
- Enumeration date
- Feb 13, 2020
- Certification date
- Feb 13, 2020
- Last updated
- Feb 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
619 Main StPlattsmouth, NE 68048-1853
Phone 402-296-2188 · Fax 402-296-4480
Mailing address
619 Main StPlattsmouth, NE 68048-1853
Phone 402-296-2188 · Fax 402-296-4480
Authorized official
Brittany King
Office Manager
4029919423
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