| James and Soukup DDS PC | |
|
100 N 12th St #502 Centerstone Lincoln NE 68508-1410 | |
| (402) 476-8058 | |
| (402) 476-1763 |
| Full Name | James and Soukup DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 N 12th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Jessica Jeanne Soukup (PARTNER) |
| Authorized Official Contact | 4024768058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James and Soukup DDS PC 100 N 12th St #502 Centerstone Lincoln NE 68508-1410 Ph: (402) 476-8058 | James and Soukup DDS PC 100 N 12th St #502 Centerstone Lincoln NE 68508-1410 Ph: (402) 476-8058 |
| NPI Number | 1922302272 |
|---|---|
| Provider Enumeration Date | 12/30/2010 |
| Last Update Date | 12/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922302272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6260 (Nebraska) | Primary |
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