Organization
PROFILE ORTHODONTICS
Active
Organization
PROFILE ORTHODONTICS
Active
Other names
Profile Orthodontics & Facial Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT ESSINK DDS, MS (OWNER)
(531) 893-2928
Entity
Organization
Contact information
Practice address
6201 S 58TH ST STE D, LINCOLN, NE 68516-3678
(531) 893-2928
Mailing address
6201 S 58TH ST STE D, LINCOLN, NE 68516-3678
(531) 893-2928
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
04/11/2023
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