| Williamsburg Dental - South Street | |
|
1265 S Cotner Blvd Lincoln NE 68510-4975 | |
| (402) 904-6005 | |
| (402) 904-6005 |
| Full Name | Williamsburg Dental - South Street |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1265 S Cotner Blvd, Lincoln, Nebraska |
| Authorized Official Name and Position | Bonnie L Gall (CLINICAL COORDINATOR) |
| Authorized Official Contact | 4029046005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Dental - South Street Williamsburg Dental South Street 6930 L Street Suite B Lincoln NE 68510 Ph: (402) 904-6005 | Williamsburg Dental - South Street 1265 S Cotner Blvd Lincoln NE 68510-4975 Ph: (402) 904-6005 |
| NPI Number | 1922525450 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922525450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7178 (Nebraska) | Primary |
Lincoln Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504 Phone: 402-476-1500 Fax: 402-476-1510 | |
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 | |
Williamsburg Dental Piedmont Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 S Cotner Blvd, Lincoln, NE 68510 Phone: 402-420-2222 | |
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 | |
Gateway Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 770 N Cotner Blvd Ste 202, Lincoln, NE 68505 Phone: 402-434-2360 Fax: 402-434-2361 | |
Drew B. Attanasio, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 S 70th St, Suite 201, Lincoln, NE 68510 Phone: 402-483-1101 |