| Mpda Ogallala Llc | |
|
115 E 2nd St Ogallala NE 69153-2526 | |
| (308) 284-2961 | |
| Not Available |
| Full Name | Mpda Ogallala Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 E 2nd St, Ogallala, Nebraska |
| Authorized Official Name and Position | Benjamin Lashley (OWNER) |
| Authorized Official Contact | 3085341289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpda Ogallala Llc 115 E 2nd St Ogallala NE 69153-2526 Ph: (308) 284-2961 | Mpda Ogallala Llc 115 E 2nd St Ogallala NE 69153-2526 Ph: (308) 284-2961 |
| NPI Number | 1851199830 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851199830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bradley J Hoppens Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W 4th St, Ogallala, NE 69153 Phone: 308-284-4421 Fax: 308-284-6616 |