| Broken Bow Dental | |
|
551 S E St Broken Bow NE 68822-2529 | |
| (308) 293-0291 | |
| Not Available |
| Full Name | Broken Bow Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 551 S E St, Broken Bow, Nebraska |
| Authorized Official Name and Position | Casi Jo Mcleod (DENTIST/OWNER) |
| Authorized Official Contact | 3082930291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Bow Dental 207 Pine St Halsey NE 69142-2524 Ph: (308) 293-0291 | Broken Bow Dental 551 S E St Broken Bow NE 68822-2529 Ph: (308) 293-0291 |
| NPI Number | 1881492346 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881492346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
Mpda Broken Bow LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2021 South E, Suite 5, Broken Bow, NE 68822 Phone: 308-767-2004 Fax: 308-767-2006 |