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Organization
PIONEER WOODS DENTAL LLC
Active
Organization
PIONEER WOODS DENTAL LLC
Active
Other names
Pioneer Woods Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD EUGENE QUINCY DDS (MANAGER)
(402) 447-6042
Entity
Organization
Contact information
Practice address
4210 PIONEER WOODS DRIVE, SUITE D, LINCOLN, NE 68506
(402) 484-6042
(402) 484-6043
Mailing address
POB 87, 314 N 4TH ST, NEWMAN GROVE, NE 68758-0087
(402) 447-6042
(402) 447-6009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5876
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025209600
—
NE
Enumeration date
11/15/2006
Last updated
08/22/2020
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