GOOD LIFE DENTAL P.C. NPI 1912376617

NPI Information

  • NPI: 1912376617
  • Provider Name: GOOD LIFE DENTAL, P.C.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: COMPREHENSIVE FAMILY DENTISTRY, L.L.C.
  • CLIA Number: 28D2304077
  • Address: 302 S BAILEY AVE
    NORTH PLATTE, NE
    ZIP 69101
  • Phone: (308) 532-0427

Map and Directions

Get Directions

NPI Details

GOOD LIFE DENTAL, P.C. is a dental clinic center in North Platte, NE. GOOD LIFE DENTAL, P.C. NPI is 1912376617. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Comprehensive Family Dentistry, L.l.c..

The provider's business location address is:

302 S BAILEY AVE
NORTH PLATTE, NE
ZIP 69101-407
Phone: (308) 532-0427

The provider's authorized official is Kate Wolford Wawrzynkiewicz .
The authorized official title is President and has the following contact phone number (308) 532-0427.

The CLIA number assigned to this NPI record is 28D2304077 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 9/23/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental7079NEBRASKAYes

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
1261QD0000XMEDICAIDNEBRASKA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI