Organization
STARK AND JOHNSON LLC
Active
Parent organization
STARK AND JOHNSON, LLC
Other names
Lincoln Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARK AND JOHNSON, LLC
Authorized official
JENNI K WALL (INSURANCE AND BILLING MANAGER)
(402) 476-1500
Entity
Organization
Contact information
Practice address
4301 S 80TH ST, SUITE A, LINCOLN, NE 68516-4404
(402) 476-4301
(402) 476-4305
Mailing address
4301 S 80TH ST, SUITE A, LINCOLN, NE 68516-4404
(402) 476-4301
(402) 476-4305
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
01/12/2022
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