# NEBRASKA DENTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306216890
- **Authorized official:** HEATHER KRAUSHAAR (PROVIDER RELATIONS)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 206 WILMAR AVE, GRAND ISLAND, NE 68803-3559
- **Practice address phone:** (308) 384-7500
- **Practice address fax:** (308) 384-0668
- **Mailing address:** 206 WILMAR AVE, GRAND ISLAND, NE 68803-3559
- **Mailing address phone:** (308) 384-7500
- **Mailing address fax:** (308) 384-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 09/29/2015