# ANDERSON-MARTIN-LACEY-ANTHOLZ DENTISTS, PC

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

## Provider details

- **NPI number:** 1093722118
- **Authorized official:** DR. MAX M MARTIN JR. DDS (OWNER/SECRETARY)
- **Authorized official phone:** (402) 474-3445

## Contact information

- **Practice address:** 3445 'O' STREET, LINCOLN, NE 68510-1541
- **Practice address phone:** (402) 474-3445
- **Practice address fax:** (402) 474-6061
- **Mailing address:** 3445 'O' STREET, LINCOLN, NE 68510-1541
- **Mailing address phone:** (402) 474-3445
- **Mailing address fax:** (402) 474-6061

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020