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Active NPI 1720158280 Individual Practitioner Female Practitioner

Dr. Stacy Leigh Solomon , DDS

Dentist - General Practice • Broken Bow, NE

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Solomon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Broken Bow, NE. Practice services are available at 2021 S E ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2021 S E St
Ste #5

Broken Bow, NE 688221848

Telephone 3087672004
Fax 3087672006
Associated Practice Facility / Clinic
🏢 Mpda Broken Bow Llc Facility NPI 1376294298

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Broken Bow, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Broken Bow, NE (832 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 6515

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10025242100 (NE)
Commercial Insurance / Payer ID Bcbs
05178 (NE)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2012

Registered at 2021 S E ST, STE #5, BROKEN BOW, NE 688221848 (Tel: 3087672004)

📍
Updated Business Mailing Address January 25, 2012

Registered at 2021 S E ST, STE #5, BROKEN BOW, NE 688221848 (Tel: 3087672004)

👤
Provider Name / Credentials Updated January 25, 2012

Recorded as STACY SOLOMON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Dentist (License #6515 in NE)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720158280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: January 25, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2021 S E St, Ste #5

Broken Bow, NE 688221848

Phone: 3087672004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.