Individual
JUSTIN SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4444 S 86TH ST STE 101, LINCOLN, NE 68526-9253
(402) 483-7502
Mailing address
4444 S 86TH ST STE 101, LINCOLN, NE 68526-9253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61816
KS
122300000X
Dentist
Primary
7309
NE
Other
Enumeration date
08/02/2016
Last updated
02/24/2025
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