| Family Dental @ Walnut Creek | |
|
11336 S 96th St #121 Papillion NE 68046-4209 | |
| (402) 964-2200 | |
| Not Available |
| Full Name | Family Dental @ Walnut Creek |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11336 S 96th St, Papillion, Nebraska |
| Authorized Official Name and Position | Chris Lippold (DENTIST) |
| Authorized Official Contact | 4029642200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental @ Walnut Creek 11336 S 96th St Papillion NE 68046-4209 Ph: (402) 964-2200 | Family Dental @ Walnut Creek 11336 S 96th St #121 Papillion NE 68046-4209 Ph: (402) 964-2200 |
| NPI Number | 1467738906 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467738906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5416 (Nebraska) | Primary |
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