NPI Code Details Logo

NPI 1669152609

NPI 1669152609 : THE DENTAL COMPANY PC : GRAND ISLAND, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669152609
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE DENTAL COMPANY PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/24/2023
-----------------------------------------------------
    Last Update Date     |    07/24/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    903 N ALPHA ST 
-----------------------------------------------------
    City                 |    GRAND ISLAND
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68803-4362
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    308-382-2964
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    903 N ALPHA ST 
-----------------------------------------------------
    City                 |    GRAND ISLAND
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68803-4362
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    308-382-2964
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    DR. SYDNEY E ARMSTRONG 
-----------------------------------------------------
    Credential           |    DDS
-----------------------------------------------------
    Telephone            |    402-309-4349
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QD0000X
-----------------------------------------------------
    Taxonomy Name        |    Dental Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.