NPI 1326419540

Plaza Ridge Dental

Organisation Dental Clinic/Center Beatrice, NE

Practice location

Address: 110 Eastside Blvd, Beatrice, NE 68310-3480
Phone: (402) 223-4140
Fax: (402) 228-1762
Mailing address: 110 Eastside Blvd Suite a, Beatrice, NE 68310-3480

Authorised official

Name: Jason Charles Roche
Title: Owner/Dentist
Phone: (402) 223-4140

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 6167 (NE)

Other Clinic/Center providers in Nebraska →

Registry record

NPI: 1326419540
Entity type: Organization
NPI issued: 14 Oct 2015
Record last updated: 14 Oct 2015

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.