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Tooth Fairy PC — NPI 1316203433, Kearney, NE | NPI Central

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NPI 1316203433

OrganizationActive

Tooth Fairy PC

NPI 1316203433 · Pediatric Dentistry · Kearney, NE

Provider details

NPI number: 1316203433
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Organization subpart: No
Authorized official: Teresa Poorman, Dentist(308) 234-5437
License: 5646 (NE)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 5646 (NE)
Dental Providers

Practice location

121 E 31st St

Kearney, NE 68847-3001

Phone: (308) 234-5437

Fax: (308) 234-3169

Approximate (ZIP-level) locationGet directions

More NE providers

Mailing address

121 E 31st St

Kearney, NE 68847-3001

Registry dates

Enumerated: 2012-04-03
Last updated: 2012-04-03

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