Organization · Type 2 NPI
Shadow Ridge Dental
General Practice Dentistry · Elkhorn, NE
NPI number
1073811014
Active
Practice location
19103 Mason Plz
Elkhorn, NE 68022-5659
Fax (402) 933-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 4791 (NE) |
| General Practice Dentistry | 1223G0001X | 4488 (NE) |
General Practice Dentistry: 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.
Another provider at this address
Other general practice dentistry providers in Elkhorn
About NPI 1073811014
Shadow Ridge Dental's National Provider Identifier is 1073811014, issued on Feb 28, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Elkhorn, NE. The record was last updated on Feb 28, 2011.