# HASTINGS FAMILY DENTAL 1, LLC

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

## Provider details

- **NPI number:** 1457979106
- **Authorized official:** MRS. NICOLE L. DELGADO (OFFICE COORDINATOR)
- **Authorized official phone:** (402) 462-6410

## Contact information

- **Practice address:** 2628 W 2ND ST, HASTINGS, NE 68901-4606
- **Practice address phone:** (402) 462-5546
- **Mailing address:** 2628 W 2ND ST, HASTINGS, NE 68901-4606
- **Mailing address phone:** (402) 462-5546

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2020
- **Last updated:** 07/09/2020
