# REBECCA R KRUEGER DDS PC

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

## Provider details

- **NPI number:** 1639762560
- **Authorized official:** REBECCA R KRUEGER DDS (OWNER)
- **Authorized official phone:** (402) 483-1054

## Contact information

- **Practice address:** 1919 S 40TH ST STE 218, LINCOLN, NE 68506-5247
- **Practice address phone:** (402) 483-1054
- **Practice address fax:** (402) 892-7054
- **Mailing address:** 1919 S 40TH ST STE 218, LINCOLN, NE 68506-5247
- **Mailing address phone:** (402) 483-1054
- **Mailing address fax:** (402) 892-7054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 02/11/2021