PRAIRIE MEADOWS DENTAL PC NPI 1407465966

NPI Information

NPI: 1407465966
Provider Name: PRAIRIE MEADOWS DENTAL, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1055 WEST 56TH STREET
KEARNEY, NE
ZIP 68845
Phone: (308) 708-7970
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PRAIRIE MEADOWS DENTAL, PC is a dental clinic center in Kearney, NE. PRAIRIE MEADOWS DENTAL, PC NPI is 1407465966. The provider is registered as an organization entity type.

The provider's business location address is:

1055 WEST 56TH STREET
KEARNEY, NE
ZIP 68845
Phone: (308) 708-7970
Fax: (308) 708-7975

The provider's authorized official is Aaron Jeffrey Madsen .
The authorized official title is Clinic Administrator and has the following contact phone number (308) 708-7970.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 1/24/2022.

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	261QD0000X	Clinic/Center	Dental			Yes

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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