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Contact Information

ALLIANCE DENTAL CLINIC PC
2308 BOX BUTTE AVE.
ALLIANCE, NE69301-0586
 Phone: 308-762-6354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ALLIANCE DENTAL CLINIC PC

NPI # 1598834582
LBN Legal business name ALLIANCE DENTAL CLINIC PC
Authorized official GARY CHRISTENSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 04/25/2013 - About 13 years ago
Identifiers
NE License # 4498
NE Medicaid 10024961800
NE Other 07862 BCBSNE
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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