Mpda Broken Bow LLC
Mpda Broken Bow LLC is a Dentist in Broken Bow, Nebraska. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2021 S E Ste 5Broken Bow, NE 68822
Phone: (308) 767-2004
Fax: (308) 767-2006
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X |
Record details
| NPI number | 1376294298 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Benjamin Lashley — Sole Member · (308) 534-1289 |
| NPI enumerated | January 12, 2022 |
| Last updated in NPPES | January 12, 2022 |
| Certification date | January 12, 2022 |
| Mailing address | 2021 South E, Suite 5, Broken Bow, NE 68822 |
Other providers in Broken Bow
-
Mr. Ronnie Roy Simmons, DDS
924 S 1st Ave, Broken Bow, NE 68822-3004 · (308) 872-6294