1336986447 NPI number — COUNTRYSIDE PEDIATRIC DENTISTRY

Table of content: (NPI 1336986447)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336986447 NPI number — COUNTRYSIDE PEDIATRIC DENTISTRY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTRYSIDE PEDIATRIC DENTISTRY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336986447
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
617 ROAD P
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68467-7555
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3310 S CORNHUSKER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-200-3971
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/15/2024

Additional Information

Authorized Official

Authorized Official Last Name:
NEVILLE
Authorized Official First Name:
BAILEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, DENTIST
Authorized Official Telephone Number:
402-853-1771

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com