Provider Demographics
NPI:1477111284
Name:GILE, NATALIE JEANNETTE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JEANNETTE
Last Name:GILE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:JEANNETTE
Other - Last Name:GILE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:811 F AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-7524
Mailing Address - Country:US
Mailing Address - Phone:308-293-3777
Mailing Address - Fax:
Practice Address - Street 1:3020 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-3503
Practice Address - Country:US
Practice Address - Phone:308-293-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE75321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice