Healthcare Provider Details
I. General information
NPI: 1952218703
Provider Name (Legal Business Name): MOLLY MCNEELY DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1513 CENTRAL AVE
NEBRASKA CITY NE
68410-2225
US
IV. Provider business mailing address
1513 CENTRAL AVE
NEBRASKA CITY NE
68410-2225
US
V. Phone/Fax
- Phone: 402-873-5005
- Fax:
- Phone: 402-873-5005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOLLY
MCNEELY
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 402-873-5005