# ALLIANCE DENTAL CLINIC PC

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

## Provider details

- **NPI number:** 1598834582
- **Authorized official:** DR. GARY DEE CHRISTENSEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (308) 762-6354

## Contact information

- **Practice address:** 2308 BOX BUTTE AVE., ALLIANCE, NE 69301-0586
- **Practice address phone:** (308) 762-6354
- **Mailing address:** PO BOX 586, ALLIANCE, NE 69301-0586
- **Mailing address phone:** (308) 762-6354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4498 | NE | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 04/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07862 | BCBSNE | NE |
| 05 | — | 10024961800 | — | NE |