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Organization
LANNAE PHELPS D.D.S., P.C.
Active
Organization
LANNAE PHELPS D.D.S., P.C.
Active
Other names
Phelps Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LANNAE LYNN PHELPS D.D.S. (PRESIDENT)
(308) 534-4040
Entity
Organization
Contact information
Practice address
221 S JEFFERS ST, SUITE #1, NORTH PLATTE, NE 69101-5371
(308) 534-4040
(308) 534-1087
Mailing address
PO BOX 846, NORTH PLATTE, NE 69103-0846
(308) 534-4040
(308) 534-1087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6557
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025389900
—
NE
Enumeration date
05/22/2007
Last updated
08/08/2012
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