Provider Demographics
NPI:1023823457
Name:WOOD DUCK DENTAL
Entity type:Organization
Organization Name:WOOD DUCK DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-649-2848
Mailing Address - Street 1:806 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1657
Mailing Address - Country:US
Mailing Address - Phone:402-649-2848
Mailing Address - Fax:
Practice Address - Street 1:1300 NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3684
Practice Address - Country:US
Practice Address - Phone:402-371-0845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental