# FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family 1st Dental of Creighton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073789756
- **Authorized official:** ANN L. STOLTENBERG (FAMILY 1ST DENTAL SUPPORT MANAGER)
- **Authorized official phone:** (712) 830-5356

## Contact information

- **Practice address:** 615 MAIN ST., CREIGHTON, NE 68729-0309
- **Practice address phone:** (402) 358-3484
- **Practice address fax:** (402) 358-3411
- **Mailing address:** 615 MAIN ST. BOX 309, CREIGHTON, NE 68729-0309
- **Mailing address phone:** (402) 358-3484
- **Mailing address fax:** (402) 358-3411

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2008
- **Last updated:** 06/04/2021