NEBRASKA DENTAL CARE LLC NPI 1306216890

NPI Information

NEBRASKA DENTAL CARE LLC is a general practice dentist in Grand Island, NE. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NEBRASKA DENTAL CARE LLC NPI is 1306216890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

206 WILMAR AVE
GRAND ISLAND, NE
ZIP 68803-559
Phone: (308) 384-7500
Fax: (308) 384-0668

The provider's authorized official is Heather Kraushaar .
The authorized official title is Provider Relations and has the following contact phone number (315) 454-6000.

The CLIA number assigned to this NPI record is 28D2259993 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2015 and was last updated on 9/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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