# ALLISON HURLBUT DDS LLC

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

## Provider details

- **NPI number:** 1609506187
- **Authorized official:** ALLISON CHRISTINE HURLBUT DDS (OWNER)
- **Authorized official phone:** (402) 499-5279

## Contact information

- **Practice address:** 5611 NW 1ST ST STE 108, LINCOLN, NE 68521-4466
- **Practice address phone:** (402) 438-5588
- **Practice address fax:** (402) 438-5715
- **Mailing address:** 17455 PRAIRIE VISTA DR, ROCA, NE 68430
- **Mailing address phone:** (402) 499-5279

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022