# SOLOMON FAMILY DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053481606
- **Authorized official:** DR. STACY L SOLOMON D.D.S. (PRESIDENT)
- **Authorized official phone:** (308) 643-2679

## Contact information

- **Practice address:** 544 MCCARTY ST, MERNA, NE 68856-0327
- **Practice address phone:** (308) 643-2679
- **Practice address fax:** (308) 643-2684
- **Mailing address:** PO BOX 327, MERNA, NE 68856-0327
- **Mailing address phone:** (308) 643-2679
- **Mailing address fax:** (308) 643-2684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6515 | NE | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05178 | BCBS | NE |
| 05 | — | 10025242100 | — | NE |