Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADOW RIDGE DENTAL
Active OrganizationSHADOW RIDGE DENTAL is a General Dentistry organization located in ELKHORN, Nebraska. NPI 1073811014 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ELKHORN, NE
Registration Details
- NPI Number
- 1073811014
- Provider Type
- Organization
- NPI Issued
- Feb 28, 2011 (15.270801113845 yrs)
- Last Updated
- Feb 28, 2011
- Licenses
-
4488 (NE)4791 (NE)
Practice Information
- Address
-
19103 MASON PLZELKHORN, NE, 680225659Browse NE providers · Browse ZIP 68022
- Phone
- 4029330525
- Fax
- 4029332925
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Organizations in ELKHORN, NE
| Name | NPI |
|---|---|
| MARK PANNETON DDS PC | 1386031169 |
| DENTAL PROFESSIONALS OF NEBRASKA, PC | 1346923042 |
| BRANDON MIZNER, DDS, LLC | 1902775976 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.