1. Home
  2. Directory
  3. Nebraska
  4. Kearney
  5. Dentist
  6. NPI Profile

KEARNEY DENTAL CLINIC P C
NPI 1205015039
Dentist - General Practice in Kearney, NE

Active since October 29, 2007
4106 6TH AVE, KEARNEY, NE 68845(308) 237-3281(308) 236-9642 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kearney Dental Clinic P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEARNEY DENTAL CLINIC P C (NPI 1205015039) is a healthcare organization registered as a general practice in Kearney, Nebraska and active in the NPI registry since October 2007. The organization lists Stephen R Bush, President/owner, as its authorized official.

NPPES Registry Identity

NPI1205015039
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEARNEY DENTAL CLINIC P C
Location Address4106 6TH AVEKearney, NE 68845-3395
Mailing Address4106 6th AveKearney, NE 68845-3395 · (308) 237-3479 · Fax (308) 236-9642
Phone(308) 237-3281
Fax(308) 236-9642
Organization SubpartNo
Authorized OfficialStephen R BushPresident/owner · (308) 237-3479
Enumeration DateOctober 29, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1205015039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NE · 5333✔ Licensed in NE · 6551
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4106 6TH AVE, Kearney, NE 68845
Open in Google Maps ↗

Other Identifiers 1

Medicaid========= 01NE

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE LYNN GOODWIN D.D.S.
Dentist (General Practice)
4106 6TH AVE
KEARNEY, NE 68845
Buffalo County (308) 237-3479
KINSLEY ENGLAND
Dentist
4106 6TH AVE
KEARNEY, NE 68845
Buffalo County (308) 237-3479
KATHERINE L. GOODWIN, D.D.S., LLC
Clinic/Center (Dental)
4106 6TH AVE
KEARNEY, NE 68845
Buffalo County (308) 237-3479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kearney Dental Clinic P C's NPI number?

The NPI number for Kearney Dental Clinic P C is 1205015039. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Kearney Dental Clinic P C located?

Kearney Dental Clinic P C is located at 4106 6th Ave, Kearney, NE 68845. The listed phone number is (308) 237-3281.

What is Kearney Dental Clinic P C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kearney Dental Clinic P C was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.