Fort Theatre Dentistry is a Dental Clinic in Kearney, Nebraska. It is located at 2205 Central Ave, Kearney, NE and its contact number is 308-237-5853. The authorized person for Fort Theatre Dentistry is Dr. Walter D Martin
who is Owner of the clinic and their contact number is 308-237-5853. Fort Theatre Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Fort Theatre Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fort Theatre Dentistry
Specialization:
Dentistry
Clinic Address:
2205 Central Ave, Kearney, Nebraska, 68847-5346
Phone:
308-237-5853
Fax:
308-237-5089
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Walter D Martin
Position:
Owner
Contact Number:
308-237-5853
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fort Theatre Dentistry clinic are as mentioned below.
NPI Number:
1568670537
NPI Enumeration Date:
21 May, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fort Theatre Dentistry are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
Primary
Dentist
Secondary
Oral and Maxillofacial Surgery
Secondary
Orthodontics and Dentofacial Orthopedics
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100252764-00
Medicaid
Nebraska
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fort Theatre Dentistry 2205 Central Ave, Kearney, Nebraska
Zip:
68847-5346
Phone Number:
308-237-5853
Fax Number:
308-237-5089
Patients can reach Fort Theatre Dentistry at 2205 Central Ave, Kearney, Nebraska or can call to book an appointment on 308-237-5853. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.