NPI 1235243320

Heartland Periodontics and Implant Dentistry PC

Organisation Periodontics Grand Island, NE

Practice location

Address: 2414 W Faidley Avenue Suite 102, Grand Island, NE 68803-4327
Phone: (308) 381-2010
Fax: (308) 381-5726

Authorised official

Name: Van J Sanderfer
Title: President - Heartland Periodontics
Phone: (308) 381-2010

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 6223 (NE)

Other Dentist providers in Nebraska →

Registry record

NPI: 1235243320
Entity type: Organization
NPI issued: 18 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.