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KEARNEY PEDIATRIC DENTISTRY L.L.C. NPI 1760910194


NPI Information

NPI: 1760910194
Provider Name: KEARNEY PEDIATRIC DENTISTRY, L.L.C.
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
218 W 39TH ST
KEARNEY, NE
ZIP 68845
Phone: (308) 236-5437
Get Directions

KEARNEY PEDIATRIC DENTISTRY, L.L.C. is a pediatric dentistry dentist in Kearney, NE. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. KEARNEY PEDIATRIC DENTISTRY, L.L.C. NPI is 1760910194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

218 W 39TH ST
KEARNEY, NE
ZIP 68845-802
Phone: (308) 236-5437

The provider's authorized official is Brett J Carranza .
The authorized official title is Owner and has the following contact phone number (308) 236-5437.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 5/30/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry6781NEBRASKAYes

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: 11/14/2023

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