| Minden Dental Clinic, Llc | |
|
110 E Hawthorne St Minden NE 68959-1971 | |
| (308) 832-2582 | |
| (308) 832-1120 |
| Full Name | Minden Dental Clinic, Llc |
|---|---|
| Speciality | Dentist |
| Location | 110 E Hawthorne St, Minden, Nebraska |
| Authorized Official Name and Position | Christopher Lee Birkestrand (DOCTOR/DENTIST) |
| Authorized Official Contact | 3088322582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Dental Clinic, Llc 110 E Hawthorne St Minden NE 68959-1971 Ph: (308) 832-2582 | Minden Dental Clinic, Llc 110 E Hawthorne St Minden NE 68959-1971 Ph: (308) 832-2582 |
| NPI Number | 1134495849 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 0941588347 |
|---|---|
| Medicare Enrollment ID | O20161104000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134495849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6257 (Nebraska) | Primary |
| Provider Name | Christopher L Birkestrand |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639273188 PECOS PAC ID: 7012295413 Enrollment ID: I20161117000499 |
| Provider Name | Alicia D Lyon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982054052 PECOS PAC ID: 6608156005 Enrollment ID: I20161130001871 |
Mccann-carpenter Dental, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 N Minden Ave, Minden, NE 68959 Phone: 308-832-1010 |