# VILLACONN LLC

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

## Provider details

- **NPI number:** 1912271966
- **Authorized official:** DR. JUSTIN J VILLAFANE DDS (PRESIDENT, OWNER)
- **Authorized official phone:** (402) 484-5760

## Contact information

- **Practice address:** 5760 S 86TH ST \# 2, LINCOLN, NE 68526-6053
- **Practice address phone:** (402) 484-5760
- **Practice address fax:** (402) 484-0229
- **Mailing address:** 5760 S 86TH ST \# 2, LINCOLN, NE 68526-6053
- **Mailing address phone:** (402) 484-5760
- **Mailing address fax:** (402) 484-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6696 | NE | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 03/07/2012