Shadow Ridge Dental is a Dental Clinic in Elkhorn, Nebraska. It is located at 19103 Mason Plz, Elkhorn, NE and its contact number is 402-933-0525. The authorized person for Shadow Ridge Dental is James W Becker
who is Owner of the clinic and their contact number is 402-933-0525. The primary license number for Shadow Ridge Dental is 4791 (General Practice) in Nebraska. Shadow Ridge Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Shadow Ridge Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Shadow Ridge Dental
Specialization:
General Practice Dentistry
Clinic Address:
19103 Mason Plz, Elkhorn, Nebraska, 68022-5659
Phone:
402-933-0525
Fax:
402-933-2925
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:
James W Becker
Position:
Owner
Contact Number:
402-933-0525
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 Shadow Ridge Dental clinic are as mentioned below.
NPI Number:
1073811014
NPI Enumeration Date:
28 Feb, 2011
NPI Last Update On:
28 Feb, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shadow Ridge Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
4791
Nebraska
Primary
General Practice
4488
Nebraska
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
100251659-00
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.
Patients can reach Shadow Ridge Dental at 19103 Mason Plz, Elkhorn, Nebraska or can call to book an appointment on 402-933-0525. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.