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Contact Information

HERGENRADER DENTAL REHAB PC
3102 EAST ELK LANE
FREMONT, NE68025
 Phone: 315-454-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HERGENRADER DENTAL REHAB PC

NPI Number 1891298196
LBN Legal business name HERGENRADER DENTAL REHAB PC
Authorized official ALAN HERGENRADER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2018
Last updated 03/13/2018 - About 8 years ago
Identifiers n/a
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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