| Capital Dental, Llc | |
|
5609 S 27th St Ste D Lincoln NE 68512-1602 | |
| (402) 420-0999 | |
| Not Available |
| Full Name | Capital Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5609 S 27th St Ste D, Lincoln, Nebraska |
| Authorized Official Name and Position | Addison James Killeen (OWNER) |
| Authorized Official Contact | 4024200999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Dental, Llc 5609 S 27th St Ste D Lincoln NE 68512-1602 Ph: (402) 420-0999 | Capital Dental, Llc 5609 S 27th St Ste D Lincoln NE 68512-1602 Ph: (402) 420-0999 |
| NPI Number | 1194372581 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194372581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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