Organization
MARK PANNETON DDS PC
Active
Other names
Panneton Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE PANNETON (DIRECTOR)
(402) 934-5200
Entity
Organization
Contact information
Practice address
18140 BURKE ST STE 100, ELKHORN, NE 68022
(402) 934-5200
(402) 537-4346
Mailing address
18140 BURKE ST STE 100, ELKHORN, NE 68022
(402) 934-5200
(402) 537-4346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5527
NE
Other
Enumeration date
04/20/2015
Last updated
05/02/2022
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