# CRETE FAMILY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crete Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437515111
- **Authorized official:** BONNIE GALL (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (402) 904-6005

## Contact information

- **Practice address:** 1005 E. HIGHWAY 33, SUITE 7, CRETE, NE 68333-2546
- **Practice address phone:** (402) 418-7214
- **Practice address fax:** (402) 420-7045
- **Mailing address:** 6040 VILLAGE DR, STE 1, LINCOLN, NE 68516-6640
- **Mailing address phone:** (402) 420-2222
- **Mailing address fax:** (402) 420-7045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7178 | NE | Yes |

## Other

- **Enumeration date:** 01/11/2016
- **Last updated:** 02/25/2016