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3272 Salt Creek Cir Suite A Lincoln NE 68504-4759 | |
| (402) 476-1500 | |
| (402) 476-1510 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3272 Salt Creek Cir, Lincoln, Nebraska |
| Authorized Official Name and Position | Jenni K Wall (INSURANCE AND BILLING MANAGER) |
| Authorized Official Contact | 4024761500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3272 Salt Creek Cir Suite A Lincoln NE 68504-4759 Ph: (402) 476-1500 | 3272 Salt Creek Cir Suite A Lincoln NE 68504-4759 Ph: (402) 476-1500 |
| NPI Number | 1013219633 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013219633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | 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 | |