# LONNIE R. FLAGTWET, DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Skies Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912472192
- **Authorized official:** DR. LONNIE R. FLAGTWET DDS (OWNER)
- **Authorized official phone:** (402) 483-6662

## Contact information

- **Practice address:** 7121 STEPHANIE LN STE 112, LINCOLN, NE 68516-5324
- **Practice address phone:** (402) 483-6662
- **Mailing address:** 7121 STEPHANIE LN STE 112, LINCOLN, NE 68516-5324
- **Mailing address phone:** (402) 483-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1598784472 | INDIVIDUAL NPI | — |
