| Eastview Family Dental | |
|
5640 South St Suite #1 Lincoln NE 68506-2231 | |
| (402) 489-0787 | |
| (402) 489-1170 |
| Full Name | Eastview Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5640 South St, Lincoln, Nebraska |
| Authorized Official Name and Position | Susan M Christensen (OWNER) |
| Authorized Official Contact | 4024890787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastview Family Dental 5640 South St Suite #1 Lincoln NE 68506-2231 Ph: (402) 489-0787 | Eastview Family Dental 5640 South St Suite #1 Lincoln NE 68506-2231 Ph: (402) 489-0787 |
| NPI Number | 1912172164 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912172164 | NPI | - | NPPES |
| 100249491-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4942 (Nebraska) | Primary |
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