OrganizationActive
Mpda Broken Bow LLC
NPI 1376294298 · Dentist · Broken Bow, NE
Provider details
- NPI number
- 1376294298
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Benjamin Lashley, Sole Member(308) 534-1289
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2021 South E
Suite 5
Broken Bow, NE 68822
Phone: (308) 767-2004
Fax: (308) 767-2006
Street-level locationGet directions
Mailing address
2021 South E
Broken Bow, NE 68822
Registry dates
- Enumerated
- 2022-01-12
- Last updated
- 2022-01-12
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.