| Pioneer Periodontics & Implant Dentistry Pc | |
|
1640 S 70th St Ste #200 Lincoln NE 68506-1571 | |
| (402) 483-7631 | |
| (402) 483-1237 |
| Full Name | Pioneer Periodontics & Implant Dentistry Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1640 S 70th St, Lincoln, Nebraska |
| Authorized Official Name and Position | John E Rutldege (PERIODONTIST/OWNER) |
| Authorized Official Contact | 4024837631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Periodontics & Implant Dentistry Pc 1640 S 70th St Ste #200 Lincoln NE 68506-1571 Ph: (402) 483-7631 | Pioneer Periodontics & Implant Dentistry Pc 1640 S 70th St Ste #200 Lincoln NE 68506-1571 Ph: (402) 483-7631 |
| NPI Number | 1164876637 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164876637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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