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Contact Information

MEADOWLARK DENTAL ASSOCIATES
2907 W 37TH ST
STE B
KEARNEY, NE68845
 Phone: 308-234-3668
 Fax: 308-237-5491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MEADOWLARK DENTAL ASSOCIATES

NPI # 1205912482
LBN Legal business name MEADOWLARK DENTAL ASSOCIATES
Authorized official MICHAEL BRYSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NE License # 4638
NE License # 6300
NJ Medicaid 10025205200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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