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4301 S 80th St Suite A Lincoln NE 68516-4404 | |
(402) 476-4301 | |
(402) 476-4305 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 4301 S 80th St, Lincoln, Nebraska |
Authorized Official Name and Position | Jenni K Wall (INSURANCE AND BILLING MANAGER) |
Authorized Official Contact | 4024761500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4301 S 80th St Suite A Lincoln NE 68516-4404 Ph: (402) 476-4301 | 4301 S 80th St Suite A Lincoln NE 68516-4404 Ph: (402) 476-4301 |
NPI Number | 1407105299 |
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Provider Enumeration Date | 09/07/2012 |
Last Update Date | 01/12/2022 |
Identifier | Type | State | Issuer |
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1407105299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Vitality Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Cotner Blvd, Lincoln, NE 68505 Phone: 402-466-1333 Fax: 402-466-4086 | |
Dental Professionals Of Nebraska, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5640 South St Ste 1, Lincoln, NE 68506 Phone: 402-489-0787 | |
Rallis & Bonilla Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3256 Salt Creek Cir, Lincoln, NE 68504 Phone: 402-730-6838 | |
Edgewood Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5310 S 56th St Ste 3, Lincoln, NE 68516 Phone: 402-423-2900 Fax: 402-423-2907 | |