Lee A Dahl, DDS is a medicare enrolled "Dentist - General Practice" provider in Laurel, Nebraska. His current practice location is
114 E 2nd St, Laurel, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 256-3231.
Lee A Dahl is licensed to practice in Nebraska (license number 4448) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215011424.
Healthcare Provider's Profile
Full Name | Lee A Dahl |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 114 E 2nd St, Laurel, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215011424
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779800313
- Enrollment ID: I20150319002046
Medical Identifiers
Medical identifiers for Lee A Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215011424 | NPI | - | NPPES |
10025365600 | Medicaid | NE | |
5690 | Other | NE | BCBS OF NE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4448 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lee A Dahl is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lee A Dahl, DDS 114 E 2nd St, Laurel, NE 68745-0488 Ph: (402) 256-3231 | Lee A Dahl, DDS 114 E 2nd St, Laurel, NE 68745-0488 Ph: (402) 256-3231 |
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