Individual
NICHOLAS JON DIERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 E 13TH ST, CRETE, NE 68333-2235
(402) 826-4302
Mailing address
4820 UNION HILL RD, LINCOLN, NE 68516-5643
(402) 432-8481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7840
NE
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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