| Tom J. Milius Dds, Pediatric Dentistry, Pc | |
|
2621 S 70th St Ste. A Lincoln NE 68506-2911 | |
| (402) 483-4322 | |
| (402) 483-0439 |
| Full Name | Tom J. Milius Dds, Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2621 S 70th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Tom J Milius (PRESIDENT) |
| Authorized Official Contact | 4024834322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom J. Milius Dds, Pediatric Dentistry, Pc 2621 S 70th St Ste. A Lincoln NE 68506-2911 Ph: (402) 483-4322 | Tom J. Milius Dds, Pediatric Dentistry, Pc 2621 S 70th St Ste. A Lincoln NE 68506-2911 Ph: (402) 483-4322 |
| NPI Number | 1194090969 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194090969 | NPI | - | NPPES |
| 10025842400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Nebraska) | Primary |
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