Mpda Mullen LLC

General Practice Dentistry · Mullen, NE

Organization Active NPI

NPI number 1396630687

Practice location

102 SE 2ND St
Mullen, NE 69152-5224
Phone
(308) 534-1289

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NPI record

NPI
1396630687
Entity type
Organization (Type 2)
Enumeration date
June 9, 2025
Last updated
June 9, 2025
Certified
June 9, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

805 S Maple St
North Platte, NE 69101-5282

Authorized official

Name
Teresa Creasman
Title
Office Manager
Phone
(308) 534-1289

About Mpda Mullen LLC

Mpda Mullen LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 102 SE 2ND St, Mullen, NE 69152-5224. The NPI number 1396630687 was assigned on June 9, 2025 and the record was last updated on June 9, 2025.

The authorized official for this organization is Teresa Creasman, Office Manager.

Frequently asked questions

What is the NPI number of Mpda Mullen LLC?

The NPI number is 1396630687.

What is the phone number of Mpda Mullen LLC?

The phone number listed for the practice location is (308) 534-1289.

Where is Mpda Mullen LLC located?

102 SE 2ND St, Mullen, NE 69152-5224.

What is the taxonomy code for Mpda Mullen LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.