SCOTTSBLUFF DENTIST LLC (NPI# 1629588025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629588025 |
| Entity Type | Organization |
| Organization Name | SCOTTSBLUFF DENTIST LLC |
| Practice Address |
204 W 36th St Scottsbluff NE 69361-4654 |
| Practice Telephone | 3086327414 |
| Practice Fax Number | 3086323879 |
| Mailing Telephone | 3086327414 |
| Mailing Fax Number | 3086323879 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | CORTNY SINKS (OFFICE MANAGER) |
| Authorized Official Telephone | 3086327414 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
204 W 36TH ST |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1568875599 | Jason Zitterkopf | Dentist | 204 W 36th St, Scottsbluff, NE 69361-4654 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| 1952523243 | Merle Mcfadden Simpson | Respiratory Therapist, Registered | 180055 Thomas Dr, Scotsbluff, NE 69361 | 2007-05-03 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255665188 | Todd Bryant Pieper | Dentist | 3725 Avenue D, Scottsbluff, NE 69361-4642 | 2009-09-24 |
| 1588727564 | Gary Joseph Cheloha Jr. | Dentist | 310 West 38th Street, Scottsbluff, NE 69361 | 2006-12-19 |
| 1508972241 | Ryan Foote | Dentist | 416 Valley View Dr Ste 900, Scottsbluff, NE 69361-1486 | 2006-08-23 |
| 1821010125 | Robert Chris Glandt | Dentist | 2613 Circle Dr, Scottsbluff, NE 69361-1751 | 2006-07-24 |
| 1053336362 | Travis Lambert | Dentist | 3727 Avenue D, Scottsbluff, NE 69361-4642 | 2006-07-13 |
| 1487979381 | Eldon A Valetski | Dentist | 3727 Avenue D, Scottsbluff, NE 69361-4642 | 2010-04-02 |
| 1124237789 | William Scott Van Noy | Dentist | 211 W 38th St, Scottsbluff, NE 69361-4626 | 2007-05-21 |
| 1770622953 | Scott William Beck | Dentist | 210 W 38th St, Scottsbluff, NE 69361-4625 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313508 | Eric Ahrens | Dentist | 3915 4th Ave, Kearney, NE 68845-2838 | 2020-07-09 |
| 1275150401 | Vy T Vu | Dentist | 6835 S 27th St Ste 2, Lincoln, NE 68512-4824 | 2020-07-03 |
| 1326664483 | Robert Kirkland | Dentist | 1919 S 40th St Ste 200, Lincoln, NE 68506-5247 | 2020-06-24 |
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1619529617 | Brenton Joseph Matulka | Dentist | 575 Fallbrook Blvd Ste 107, Lincoln, NE 68521-9040 | 2019-07-10 |
| 1720646987 | Lindsey White | Dentist | 40890 W. Hwy 6 & 34, Cambridge, NE 69022 | 2019-06-03 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.