Organization
MCCANN-CARPENTER DENTAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSE MCCANN-CARPENTER D.D.S. (DENTIST/OWNER)
(308) 832-1010
Entity
Organization
Contact information
Practice address
309 N MINDEN AVE, MINDEN, NE 68959-1657
(308) 832-1010
Mailing address
309 N MINDEN AVE, MINDEN, NE 68959-1657
(308) 832-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6096
NE
1223G0001X
General Practice Dentistry
6936
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026070100
—
NE
Enumeration date
05/01/2012
Last updated
05/01/2012
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