# MCCANN-CARPENTER DENTAL, L.L.C.

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

## Provider details

- **NPI number:** 1760740310
- **Authorized official:** DR. MARSE MCCANN-CARPENTER D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (308) 832-1010

## Contact information

- **Practice address:** 309 N MINDEN AVE, MINDEN, NE 68959-1657
- **Practice address phone:** (308) 832-1010
- **Mailing address:** 309 N MINDEN AVE, MINDEN, NE 68959-1657
- **Mailing address phone:** (308) 832-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6096 | NE | Yes |
| 1223G0001X | General Practice Dentistry | 6936 | NE | — |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026070100 | — | NE |