# EAST LINCOLN DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Lincoln Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770039265
- **Authorized official:** BONNIE GALL (OFFICE MANAGER)
- **Authorized official phone:** (402) 904-6005

## Contact information

- **Practice address:** 6930 L ST, SUITE B, LINCOLN, NE 68510-2411
- **Practice address phone:** (402) 489-6547
- **Practice address fax:** (402) 420-7045
- **Mailing address:** 6040 VILLAGE DR, SUITE B, 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 | 5965 | NE | Yes |

## Other

- **Enumeration date:** 08/25/2016
- **Last updated:** 08/25/2016