# LIFESMILES OF SIDNEY

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

## Provider details

- **NPI number:** 1932477882
- **Authorized official:** LEASA DORNBIER (DENTIST/OWNER)
- **Authorized official phone:** (308) 249-1810

## Contact information

- **Practice address:** 1040 OLD POST RD, SIDNEY, NE 69162-3065
- **Practice address phone:** (308) 254-7171
- **Practice address fax:** (308) 254-7172
- **Mailing address:** 1040 OLD POST RD, SIDNEY, NE 69162-3065
- **Mailing address phone:** (308) 254-7171
- **Mailing address fax:** (308) 254-7172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6683 | NE | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 10/07/2016