Genesis Orthodontics | |
7001 A St Ste 105 Lincoln NE 68510-4205 | |
(402) 488-5275 | |
(402) 483-5200 |
Full Name | Genesis Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 7001 A St, Lincoln, Nebraska |
Authorized Official Name and Position | Mary Ellen Glenn (BUSINESS MANAGER) |
Authorized Official Contact | 4024885275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis Orthodontics 7001 A Street Suite 105 Lincoln NE 68510-4205 Ph: (402) 488-5275 | Genesis Orthodontics 7001 A St Ste 105 Lincoln NE 68510-4205 Ph: (402) 488-5275 |
NPI Number | 1699193169 |
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Provider Enumeration Date | 04/02/2014 |
Last Update Date | 04/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699193169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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