# SEWARD DENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1982855474
- **Authorized official:** MR. MARK ALAN MINCHOW DDS (PRESIDENT)
- **Authorized official phone:** (402) 643-2931

## Contact information

- **Practice address:** 306 S 4TH ST, SUITE 100, SEWARD, NE 68434
- **Practice address phone:** (402) 643-2931
- **Mailing address:** 306 S 4TH ST, SUITE 100, SEWARD, NE 68434
- **Mailing address phone:** (402) 643-2931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5918 | NE | Yes |
| 1223G0001X | General Practice Dentistry | 6476 | NE | — |

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 01/04/2022