Organization
STARK AND JOHNSON LLC
Active
Other names
Lincoln Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI K WALL (INSURANCE AND BILLING MANAGER)
(402) 476-1500
Entity
Organization
Contact information
Practice address
3272 SALT CREEK CIR, SUITE A, LINCOLN, NE 68504-4759
(402) 476-1500
(402) 476-1510
Mailing address
3272 SALT CREEK CIR, SUITE A, LINCOLN, NE 68504-4759
(402) 476-1500
(402) 476-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
01/12/2022
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