# LANNAE PHELPS D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phelps Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306055504
- **Authorized official:** LANNAE LYNN PHELPS D.D.S. (PRESIDENT)
- **Authorized official phone:** (308) 534-4040

## Contact information

- **Practice address:** 221 S JEFFERS ST, SUITE \#1, NORTH PLATTE, NE 69101-5371
- **Practice address phone:** (308) 534-4040
- **Practice address fax:** (308) 534-1087
- **Mailing address:** PO BOX 846, NORTH PLATTE, NE 69103-0846
- **Mailing address phone:** (308) 534-4040
- **Mailing address fax:** (308) 534-1087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6557 | NE | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025389900 | — | NE |