| Dr. Mark Vanicek | |
|
6101 Village Dr Ste 102 Lincoln NE 68516-5830 | |
| (402) 420-2600 | |
| Not Available |
| Full Name | Dr. Mark Vanicek |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6101 Village Dr Ste 102, Lincoln, Nebraska |
| Authorized Official Name and Position | Mark Vanicek (DDS) |
| Authorized Official Contact | 4024202600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark Vanicek 7621 Kennelley Dr Lincoln NE 68516-3797 Ph: (402) 420-2600 | Dr. Mark Vanicek 6101 Village Dr Ste 102 Lincoln NE 68516-5830 Ph: (402) 420-2600 |
| NPI Number | 1417216722 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417216722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5311 (Nebraska) | Primary |
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