| Kingsley Dental Llc | |
|
3015 N 90th St Ste 2 Omaha NE 68134-4713 | |
| (402) 571-0475 | |
| (402) 571-2932 |
| Full Name | Kingsley Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 3015 N 90th St Ste 2, Omaha, Nebraska |
| Authorized Official Name and Position | Dorie Lippold (OFFICE MANAGER) |
| Authorized Official Contact | 4025710475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsley Dental Llc 3015 N 90th St Ste 2 Omaha NE 68134-4713 Ph: (402) 571-0475 | Kingsley Dental Llc 3015 N 90th St Ste 2 Omaha NE 68134-4713 Ph: (402) 571-0475 |
| NPI Number | 1376978668 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376978668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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