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General NPI Number Information
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NPI Number | 1881492346
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Entity Type | Organization
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Legal Business Name | CASI MCLEOD, P.C.
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 551 S E ST
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City | BROKEN BOW
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State | NE
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Zip | 68822-2529
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Country | US
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Telephone | 308-293-0291
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Fax |
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Provider Business Mailing Address
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Address Line | 207 PINE ST
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City | HALSEY
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State | NE
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Zip | 69142-2524
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Country | US
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Telephone | 308-293-0291
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | CASI JO MCLEOD
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Credential | DMD
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Telephone | 308-293-0291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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