| Wilderness Station Pediatric Dentistry | |
|
8020 S 13th St Lincoln NE 68512-9371 | |
| (402) 420-8020 | |
| (402) 420-0367 |
| Full Name | Wilderness Station Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8020 S 13th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Martin D. Killeen (DOCTOR) |
| Authorized Official Contact | 4024208020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilderness Station Pediatric Dentistry 8020 S 13th St Lincoln NE 68512-9371 Ph: (402) 420-8020 | Wilderness Station Pediatric Dentistry 8020 S 13th St Lincoln NE 68512-9371 Ph: (402) 420-8020 |
| NPI Number | 1568682052 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568682052 | NPI | - | NPPES |
| 10025264500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6492 (Nebraska) | Primary |
Lincoln Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504 Phone: 402-476-1500 Fax: 402-476-1510 | |
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 | |
Williamsburg Dental Piedmont Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 S Cotner Blvd, Lincoln, NE 68510 Phone: 402-420-2222 | |
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 | |
Gateway Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 770 N Cotner Blvd Ste 202, Lincoln, NE 68505 Phone: 402-434-2360 Fax: 402-434-2361 | |
Drew B. Attanasio, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 S 70th St, Suite 201, Lincoln, NE 68510 Phone: 402-483-1101 |