LOUP CITY DENTAL
NPI 1548634827
Dentist - General Practice in Loup City, NE

Active since November 24, 2015CLIA 28D2014144 · Waiver
607 O ST, LOUP CITY, NE 68853(402) 745-1861(402) 745-0250 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Loup City Dental NPPES

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

LOUP CITY DENTAL (NPI 1548634827) is a healthcare organization registered as a general practice in Loup City, Nebraska and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Andrew Benson, Owner And President, as its authorized official.

NPPES Registry Identity

NPI1548634827
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBENSON FAMILY DENTISTRY, LLC
Location Address607 O STLoup City, NE 68853-8003
Mailing Address607 O St, P.o. Box 623Loup City, NE 68853-8003 · (402) 745-1861 · Fax (402) 745-0250
Fax(402) 745-0250
Organization SubpartNo
Authorized OfficialAndrew BensonOwner And President · (308) 745-1861
Enumeration DateNovember 24, 2015
NPI 1548634827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NE · 7018
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.

607 O ST, Loup City, NE 68853

Other Names 1

Doing Business AsLoup City Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D2014144
Facility Type
Ambulance
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
TJADE A. RODOCKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Loup City Dental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
607 O ST
LOUP CITY, NE 68853

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548634827, enumerated as an "organization" on November 24, 2015.

The provider is located at 607 O ST LOUP CITY, NE 68853 and the phone number is (402) 745-1861.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.