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Shadow Ridge Dental
General Practice Dentistry in Elkhorn, Nebraska
NPI 1073811014

Shadow Ridge Dental is a General Practice Dentistry based in Elkhorn, NE and is specialized in General Practice. Shadow Ridge Dental practices in Elkhorn, NE. The NPI Number for Shadow Ridge Dental is 1073811014 and holds a License No. 4791 (Nebraska).

The current practice location address for Shadow Ridge Dental is 19103 Mason Plz, Elkhorn, NE and can be reached out via phone at 402-933-0525 and via fax at 402-933-2925.

Location: 19103 Mason Plz, Elkhorn, NE, 68022-5659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073811014
Provider Name
Shadow Ridge Dental
Credential
Provider Entity Type
Organization
Address
19103 Mason Plz, Elkhorn, NE, 68022-5659
Phone Number
402-933-0525
Fax Number
402-933-2925
Provider Enumeration Date
02/28/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100251659-00 05 NE
institution
Provider Business Practice Location Address Details
Address
19103 Mason Plz
City
Elkhorn
State
Nebraska
Zip
68022-5659
Phone Number
402-933-0525
Fax Number
402-933-2925
person
Provider Business Mailing Address Details
Address
19103 Mason Plz
City
Elkhorn
State
Nebraska
Zip
68022-5659
Phone Number
402-933-0525
Fax Number
402-933-2925
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4791 (Nebraska)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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