| Mpda Bridgeport Llc | |
|
1006 Main St Bridgeport NE 69336-4035 | |
| (308) 262-1434 | |
| Not Available |
| Full Name | Mpda Bridgeport Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1006 Main St, Bridgeport, Nebraska |
| Authorized Official Name and Position | Benjamin Lashley (PARTNER) |
| Authorized Official Contact | 3085341289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpda Bridgeport Llc 1006 Main St Bridgeport NE 69336-4035 Ph: (308) 262-1434 | Mpda Bridgeport Llc 1006 Main St Bridgeport NE 69336-4035 Ph: (308) 262-1434 |
| NPI Number | 1336966795 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336966795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |