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Shayna L Mattox, DDS
Pediatric Dentist in Gretna, Nebraska
NPI 1811334857

Shayna L Mattox is a Pediatric Dentist based in Omaha, NE and is specialized in Pediatric Dentistry. Shayna L Mattox practices in Gretna, NE and has the professional credentials of DDS. The NPI Number for Shayna L Mattox is 1811334857 and holds a License No. 7643 (Nebraska).

The current practice location address for Shayna L Mattox is 10520 S 204Th St Ste C, Gretna, NE and can be reached out via phone at 402-403-6007 and via fax at 402-403-1243.

Location: 10520 S 204Th St Ste C, Gretna, NE, 68135-1773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811334857
Provider Name
Shayna L Mattox
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
10520 S 204Th St Ste C, Gretna, NE, 68135-1773
Phone Number
402-403-6007
Fax Number
402-403-1243
Provider Enumeration Date
05/31/2013
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0337241 05 OH
10028122905 05 NE
institution
Provider Business Practice Location Address Details
Address
10520 S 204Th St Ste C
City
Gretna
State
Nebraska
Zip
68028-4185
Phone Number
402-403-6007
Fax Number
402-403-1243
person
Provider Business Mailing Address Details
Address
10520 S 204Th St Ste C
City
Gretna
State
Nebraska
Zip
68028-4185
Phone Number
402-403-6007
Fax Number
402-403-1243
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7643 (Nebraska)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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