Organization
LANNAE PHELPS D.D.S., P.C.
Active
Other names
Phelps Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LANNAE LYNN PHELPS D.D.S. (PRESIDENT)
(308) 534-4040
Entity
Organization
Contact information
Practice address
221 S JEFFERS ST, SUITE #1, NORTH PLATTE, NE 69101-5371
(308) 534-4040
(308) 534-1087
Mailing address
PO BOX 846, NORTH PLATTE, NE 69103-0846
(308) 534-4040
(308) 534-1087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6557
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025389900
—
NE
Enumeration date
05/22/2007
Last updated
08/08/2012
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