Full Circle Dental

NPI #1184500241 in Ravenna, Nebraska

Provider Information

NPI Number: 1184500241
Entity Type: Organization
Organization Name: Full Circle Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 14, 2025
Last Updated: Aug 14, 2025

Practice Location

Address: 102 W SENECA ST
City: Ravenna
State: Nebraska
ZIP Code: 68869-1363
Phone: (308) 455-7069

Authorized Official

Name: DR. ALIVIA GRACE FOCKEN, DDS
Title: OWNER
Phone: (308) 440-1540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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