| Stark And Johnson Llc | |
|
4301 S 80th St Suite A Lincoln NE 68516-4404 | |
| (402) 476-4301 | |
| (402) 476-4305 |
| Full Name | Stark And Johnson Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4301 S 80th St, 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 |
|---|---|
| Stark And Johnson Llc 4301 S 80th St Suite A Lincoln NE 68516-4404 Ph: (402) 476-4301 | Stark And Johnson Llc 4301 S 80th St Suite A Lincoln NE 68516-4404 Ph: (402) 476-4301 |
| NPI Number | 1407105299 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407105299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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