| Mccann-carpenter Dental, L.l.c. | |
|
309 N Minden Ave Minden NE 68959-1657 | |
| (308) 832-1010 | |
| Not Available |
| Full Name | Mccann-carpenter Dental, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 N Minden Ave, Minden, Nebraska |
| Authorized Official Name and Position | Marse Mccann-carpenter (DENTIST/OWNER) |
| Authorized Official Contact | 3088321010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccann-carpenter Dental, L.l.c. 309 N Minden Ave Minden NE 68959-1657 Ph: (308) 832-1010 | Mccann-carpenter Dental, L.l.c. 309 N Minden Ave Minden NE 68959-1657 Ph: (308) 832-1010 |
| NPI Number | 1760740310 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760740310 | NPI | - | NPPES |
| 10026070100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6936 (Nebraska) | Secondary |
| 1223G0001X | Dentist - General Practice | 6096 (Nebraska) | Primary |
Minden Dental Clinic, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 110 E Hawthorne St, Minden, NE 68959 Phone: 308-832-2582 Fax: 308-832-1120 |