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MPDA BROKEN BOW LLC
NPI 1376294298
Dentist in Broken Bow, NE

Active since January 12, 2022
2021 SOUTH E, SUITE 5, BROKEN BOW, NE 68822(308) 767-2004(308) 767-2006 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mpda Broken Bow Llc NPPES

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

MPDA BROKEN BOW LLC (NPI 1376294298) is a healthcare organization registered as a dentist in Broken Bow, Nebraska and active in the NPI registry since January 2022. The organization lists Benjamin Allen Lashley, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1376294298
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMPDA BROKEN BOW LLC
Location Address2021 SOUTH E, SUITE 5Broken Bow, NE 68822
Mailing Address2021 South E, Suite 5Broken Bow, NE 68822 · (308) 767-2004 · Fax (308) 767-2006
Phone(308) 767-2004
Fax(308) 767-2006
Organization SubpartNo
Authorized OfficialBenjamin Allen LashleySole Member · (308) 534-1289
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1376294298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
2021 SOUTH E, Broken Bow, NE 68822
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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

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 Mpda Broken Bow LLC's NPI number?

The NPI number for Mpda Broken Bow LLC is 1376294298. It was assigned to this organization in the NPPES registry on January 12, 2022.

Where is Mpda Broken Bow LLC located?

Mpda Broken Bow LLC is located at 2021 South E Suite 5, Broken Bow, NE 68822. The listed phone number is (308) 767-2004.

What is Mpda Broken Bow LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mpda Broken Bow LLC was last updated on January 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.