Dr Jennifer Michelle Black, DDS | |
233 S 13th St, Lincoln, NE 68508-2017 | |
(712) 326-5340 | |
Not Available |
Full Name | Dr Jennifer Michelle Black |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 233 S 13th St, Lincoln, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356638910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7879 (Nebraska) | Secondary |
1223G0001X | Dentist - General Practice | 08831 (Iowa) | Primary |
Entity Name | Aria Dental Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942977632 PECOS PAC ID: 6406211895 Enrollment ID: O20230509001132 |
Mailing Address | Practice Location Address |
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Dr Jennifer Michelle Black, DDS 209 Parkview Dr, Council Bluffs, IA 51503-5300 Ph: (712) 326-5340 | Dr Jennifer Michelle Black, DDS 233 S 13th St, Lincoln, NE 68508-2017 Ph: (712) 326-5340 |
Bongok Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3885 Holdrege St., Lincoln, NE 68583 Phone: 402-472-8900 | |
Dr. Grace Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4000 E Campus Loop S, Lincoln, NE 68583 Phone: 402-472-1333 | |
Dr. Mark Alan Fischer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4000 E Campus Loop S, Lincoln, NE 68583 Phone: 402-472-1333 | |
Dr. Michael Stephen Kotopka, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6040 Village Dr, Lincoln, NE 68516 Phone: 402-420-2222 Fax: 402-420-7045 | |
Dr. Tom J Milius, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1140 N 83rd St, Lincoln, NE 68505 Phone: 402-483-4322 Fax: 402-483-0439 | |
Dr. Kelsey Elizabeth Buckley, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 S 40th St Ste 103, Lincoln, NE 68506 Phone: 402-488-0959 Fax: 402-488-2169 | |
Dr. Rusty O Lewis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8330 Dawson Creek Bay, Lincoln, NE 68505 Phone: 402-325-6056 Fax: 402-325-6058 |