Healthcare Provider Details

I. General information

NPI: 1619883659
Provider Name (Legal Business Name): GILE FAMILY DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 1ST AVENUE PL
KEARNEY NE
68847-8355
US

IV. Provider business mailing address

4701 1ST AVENUE PL
KEARNEY NE
68847-8355
US

V. Phone/Fax

Practice location:
  • Phone: 308-236-5922
  • Fax: 308-221-3009
Mailing address:
  • Phone: 308-236-5922
  • Fax: 308-221-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. NATALIE GILE
Title or Position: DOCTOR/OWNER
Credential:
Phone: 308-236-5922