| Profile Orthodontics & Facial Orthopedics | |
|
6201 S 58th St Ste D Lincoln NE 68516-3678 | |
| (531) 893-2928 | |
| Not Available |
| Full Name | Profile Orthodontics & Facial Orthopedics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6201 S 58th St Ste D, Lincoln, Nebraska |
| Authorized Official Name and Position | Grant Essink (OWNER) |
| Authorized Official Contact | 5318932928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Profile Orthodontics & Facial Orthopedics 6201 S 58th St Ste D Lincoln NE 68516-3678 Ph: (531) 893-2928 | Profile Orthodontics & Facial Orthopedics 6201 S 58th St Ste D Lincoln NE 68516-3678 Ph: (531) 893-2928 |
| NPI Number | 1417671652 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417671652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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