| |
2621 S 70th St Ste. A Lincoln NE 68506-2911 | |
(402) 483-4322 | |
(402) 483-0439 |
Full Name | |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2621 S 70th St, Lincoln, Nebraska |
Authorized Official Name and Position | Tom J Milius (PRESIDENT) |
Authorized Official Contact | 4024834322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2621 S 70th St Ste. A Lincoln NE 68506-2911 Ph: (402) 483-4322 | 2621 S 70th St Ste. A Lincoln NE 68506-2911 Ph: (402) 483-4322 |
NPI Number | 1194090969 |
---|---|
Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194090969 | NPI | - | NPPES |
10025842400 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (Nebraska) | Primary |
Vitality Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Cotner Blvd, Lincoln, NE 68505 Phone: 402-466-1333 Fax: 402-466-4086 | |
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 | |
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 | |