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Countryside Pediatric Dentistry — NPI 1336986447, York, NE | NPI Central

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NPI 1336986447

OrganizationActive

Countryside Pediatric Dentistry

NPI 1336986447 · Dental Clinic/Center · York, NE

Provider details

NPI number: 1336986447
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Bailey Neville, Owner, Dentist(402) 853-1771

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

3310 S Cornhusker Dr

York, NE 68467

Phone: (402) 200-3971

Approximate (ZIP-level) locationGet directions

More NE providers

Mailing address

617 Road P

York, NE 68467-7555

Registry dates

Enumerated: 2024-07-15
Last updated: 2024-07-15
Certified: 2024-07-05

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