PEDERSEN DENTAL NPI 1750456950

NPI Information

NPI: 1750456950
Provider Name: PEDERSEN DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1005 A ST
SCHUYLER, NE
ZIP 68661
Phone: (402) 352-5566
Get Directions

PEDERSEN DENTAL is a general practice dentist in Schuyler, 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. PEDERSEN DENTAL NPI is 1750456950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1005 A ST
SCHUYLER, NE
ZIP 68661-927
Phone: (402) 352-5566

The provider's authorized official is Todd Leroy Pedersen .
The authorized official title is President and has the following contact phone number (402) 352-5566.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	5633	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05193	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD
2	100251937-00	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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