| Cherry Hill Dentistry Llc | |
|
249 Cherry Hill Blvd Suite 5 Lincoln NE 68510-2602 | |
| (402) 488-2383 | |
| (402) 488-2384 |
| Full Name | Cherry Hill Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 249 Cherry Hill Blvd, Lincoln, Nebraska |
| Authorized Official Name and Position | Jerry A Kroeger (DENTIST) |
| Authorized Official Contact | 4024882383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Hill Dentistry Llc 249 Cherry Hill Blvd Suite 5 Lincoln NE 68510-2602 Ph: (402) 488-2383 | Cherry Hill Dentistry Llc 249 Cherry Hill Blvd Suite 5 Lincoln NE 68510-2602 Ph: (402) 488-2383 |
| NPI Number | 1427353168 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427353168 | NPI | - | NPPES |
| 10025472600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3900 (Nebraska) | Primary |
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