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Contact Information

K Q DENTAL PC
2504 NORTH WEBB RD
GRAND ISLAND, NE68803
 Phone: 308-381-7077
 Fax: 308-381-1345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for K Q DENTAL PC

NPI Number 1194897058
LBN Legal business name K Q DENTAL PC
Authorized official EDWARD QUINCY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 07/06/2009 - About 17 years ago
Identifiers
License # 6837
NE License # 3376
NE License # 3530
NE License # 4467
NE License # 4543
NE License # 5343
NE License # 5746
NE License # 5838
NE License # 5954
NE License # 5962
NE License # 6365
NE License # 6759
NE License # 6834
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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