McCann-Carpenter Dental, L.L.C.
Organization Active NPI General Practice Dentistry · Minden, NE
NPI 1760740310 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1760740310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6096 (NE)
- Legal business name
- MCCANN-CARPENTER DENTAL, L.L.C.
- Practice address
- 309 N Minden Ave
Minden, NE 68959-1657 - Phone
- (308) 832-1010
- NPI assigned
- May 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Marse McCann-Carpenter, D.D.S.
- Title
- Dentist/Owner
- Phone
- (308) 832-1010
Practitioners 1
-
Marse McCann-Carpenter, D.D.S.
National Provider Directory
Locations
309 N Minden Ave
Minden, NE 68959
Phone (308) 832-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6936 | NE | |
| General Practice Dentistry |
1223G0001X | 6096 | NE | Yes |
Addresses
Primary practice location
309 N Minden Ave
Minden, NE 68959-1657
Mailing address
309 N Minden Ave
Minden, NE 68959-1657
Phone (308) 832-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026070100 | Medicaid | NE |
Other providers in Minden, NE
- Destiny Larsen
- Katie Sue Larsen
- Shelby Liesemeyer
- Shawna Dawn Lockhorn
- Mary Elys Lutkemeier
- Marse McCann-Carpenter
- Samantha Jo McCartney
- Sean James McFadden
- Mariah Miller
- Minden Dental Clinic, LLC
All providers in Minden, NE · General Practice Dentistry in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.