# SUPERIOR DENTAL HEALTH BLAIR

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

## Provider details

- **NPI number:** 1831500784
- **Authorized official:** DONALD G. SMITH JR. DDS (DENTIST/OWNER)
- **Authorized official phone:** (402) 730-9235

## Contact information

- **Practice address:** 1904 SOUTH ST, SUITE 103, BLAIR, NE 68008-1964
- **Practice address phone:** (402) 426-3334
- **Mailing address:** 4640 CHAMPLAIN DR, SUITE 105, LINCOLN, NE 68521-4714
- **Mailing address phone:** (402) 730-9235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4294 | NE | Yes |

## Other

- **Enumeration date:** 05/14/2014
- **Last updated:** 05/14/2014