| Roots Dental Llc | |
|
8450 Eiger Dr. Suite 1 Lincoln NE 68526 | |
| (402) 413-6686 | |
| Not Available |
| Full Name | Roots Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8450 Eiger Dr. Suite 1, Lincoln, Nebraska |
| Authorized Official Name and Position | Amy Wenninghoff (DENTIST/OWNER) |
| Authorized Official Contact | 4024136686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Dental Llc 6171 Blackstone Rd Lincoln NE 68526-9539 Ph: (701) 240-5513 | Roots Dental Llc 8450 Eiger Dr. Suite 1 Lincoln NE 68526 Ph: (402) 413-6686 |
| NPI Number | 1609573013 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609573013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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