Drsgm Llc
May also be knows as Treehouse Pediatric Dentistry
Pediatric Dentist in Gretna, NE(View on Map)
Legal Business Name
Drsgm Llc
Also Known As
Treehouse Pediatric Dentistry
NPI Number
1053185702
NPI Type
Organization
Enumeration Date
11/13/2023
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
10520 S 204TH ST STE C
10520 S 204TH ST STE C
City
Gretna
Gretna
State
NE
NE
Postal Code
68028-4185
68028-4185
Country
US
US
Telephone Number
(402) 403-6007
(402) 403-6007
Authorized Official
Name
Dr. Shayna Mattox
Title or Position
OWNER
Telephone Number
(402) 319-6688
Identifiers
Identifier
10029073600
Identifier State
NE
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/13/2024