Organization
PINE RIDGE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NOLTE (DENTIST/OWNER)
(402) 423-1100
Entity
Organization
Contact information
Practice address
5140 S 56TH ST, LINCOLN, NE 68516-1832
(402) 423-1100
Mailing address
5140 S 56TH ST, LINCOLN, NE 68516-1832
(402) 423-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NE
Other
Enumeration date
11/02/2006
Last updated
11/18/2024
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