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Drsgm LLC — NPI 1053185702, Gretna, NE | NPI Central

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NPI 1053185702

OrganizationActive

Drsgm LLC

NPI 1053185702 · Pediatric Dentistry · Gretna, NE

Provider details

NPI number: 1053185702
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Authorized official: Shayna Mattox, Owner

Practice location

10520 S 204th St Ste C

Gretna, NE 68028-4185

Phone: (402) 403-6007

Fax: (402) 403-1243

More NE providers

Mailing address

10520 S 204th St Ste C

Gretna, NE 68028-4185

Registry dates

Enumerated: 2023-11-13
Last updated: 2024-08-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.