# CHERRY HILL DENTISTRY LLC

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

## Provider details

- **NPI number:** 1427353168
- **Authorized official:** DR. JERRY A KROEGER D.D.S. (DENTIST)
- **Authorized official phone:** (402) 488-2383

## Contact information

- **Practice address:** 249 CHERRY HILL BLVD, SUITE 5, LINCOLN, NE 68510-2602
- **Practice address phone:** (402) 488-2383
- **Practice address fax:** (402) 488-2384
- **Mailing address:** 249 CHERRY HILL BLVD, SUITE 5, LINCOLN, NE 68510-2602
- **Mailing address phone:** (402) 488-2383
- **Mailing address fax:** (402) 488-2384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3900 | NE | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 01/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025472600 | — | NE |