Organization
COTTONWOOD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL L BROWN MCDONALD DDS (OWNER)
(308) 382-1890
Entity
Organization
Contact information
Practice address
3327 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-1890
(308) 381-4997
Mailing address
3327 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-1890
(308) 381-4997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3813
NE
122300000X
Dentist
4294
NE
122300000X
Dentist
Primary
7101
NE
124Q00000X
Dental Hygienist
2418
NE
124Q00000X
Dental Hygienist
933
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4294
DENTIST
NE
Enumeration date
01/06/2010
Last updated
11/16/2023
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