SOUTH LINCOLN PEDIATRIC DENTISTRY LLC NPI 1457400681

NPI Information

SOUTH LINCOLN PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Lincoln, NE. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SOUTH LINCOLN PEDIATRIC DENTISTRY LLC NPI is 1457400681. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6030 VILLAGE DR
SUITE 100
LINCOLN, NE
ZIP 68516
Phone: (402) 328-2900
Fax: (402) 421-6661

The provider's authorized official is Scott Alan Hamilton .
The authorized official title is Member and has the following contact phone number (402) 770-3575.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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