| Pine Ridge Dental | |
|
5140 S 56th St Lincoln NE 68516-1832 | |
| (402) 423-1100 | |
| Not Available |
| Full Name | Pine Ridge Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5140 S 56th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Melissa Cooper (PAYROLL COORDINATOR) |
| Authorized Official Contact | 4024231100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Ridge Dental 5140 S 56th St Lincoln NE 68516-1832 Ph: (402) 423-1100 | Pine Ridge Dental 5140 S 56th St Lincoln NE 68516-1832 Ph: (402) 423-1100 |
| NPI Number | 1194803262 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194803262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Nebraska) | Primary |
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